Individual
BRYAN DAVID WHETTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
905 N 1000 W, TREMONTON, UT 84337-9356
(435) 207-4500
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5808460-1206
UT
363A00000X
Physician Assistant
PA.60423331
WA
Other
Enumeration date
11/11/2013
Last updated
10/18/2024
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