Individual
AARON WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
5784 W 7935 S APT Q210, WEST JORDAN, UT 84081-3178
(620) 757-3082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12255958-1206
UT
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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