JON T WALL

SALT LAKE CITY, UT
NPI1528006491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  76-159863-1205)
Enumeration Date2006-06-03
Last Update Date2009-06-01
Business Address
Dr. JON T WALL MD
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
Mailing Address
Dr. JON T WALL MD
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
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