JOHN OLIVER WALD

BOUNTIFUL, UT
NPI1134644453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  113620-4102)
Enumeration Date2017-08-08
Last Update Date2022-07-21
Business Address
JOHN OLIVER WALD MCD
425 MEDICAL DR STE 122
BOUNTIFUL, UT 84010-4956
Phone number: 385-275-0492
Mailing Address
JOHN OLIVER WALD MCD
425 MEDICAL DR STE 122
BOUNTIFUL, UT 84010-4956
Phone number: 385-275-0492
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