Individual
DR. ROBERT T WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 BONANZA DR, PARK CITY, UT 84060-5127
(435) 649-7640
(435) 649-1365
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 491-6482
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
158083-1205
UT
208000000X
Pediatrics Physician
Primary
158083-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5138
—
UT
Enumeration date
05/20/2006
Last updated
08/31/2012
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