Individual
WESLEY S BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
94 W MAIN ST, SANTAQUIN, UT 84655-5655
(801) 754-3122
(801) 754-0197
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003547A
IN
207Q00000X
Family Medicine Physician
Primary
7925403-1204
UT
Other
Enumeration date
05/14/2008
Last updated
08/15/2016
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