JODY QUICK WIXOM

PROVO, UT
NPI1144455833
Former NameJODY LYNNE QUICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  5187987-1205)
Enumeration Date2009-05-25
Last Update Date2013-09-05
Business Address
Dr. JODY QUICK WIXOM M.D.
1055 N 300 W STE 410
PROVO, UT 84604-3354
Phone number: 801-357-8818
Mailing Address
Dr. JODY QUICK WIXOM M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-8818
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