ZACKERY ROSS WILKES

MURRAY, UT
NPI1891291316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6860371-4405)
Enumeration Date2018-04-03
Last Update Date2018-04-03
Business Address
ZACKERY ROSS WILKES NP-C
5169 S COTTONWOOD ST # 510
MURRAY, UT 84107-6767
Phone number: 801-507-3513
Mailing Address
ZACKERY ROSS WILKES NP-C
2800 W 7460 S
WEST JORDAN, UT 84084-3731
Phone number: 801-903-3859