CARL EDWARD WYNE

MURRAY, UT
NPI1114947223
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: UT  3114301205)
Enumeration Date2006-07-20
Last Update Date2007-10-18
Business Address
-- CARL EDWARD WYNE MD
5770 FASHION BLVD
MURRAY, UT 84107-6548
Phone number: 801-314-4544
Mailing Address
-- CARL EDWARD WYNE MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-314-4544
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