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1972522316
JOHN EDWARD TEDDY WITBECK
SALT LAKE CITY, UT
NPI
1972522316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 2740011205)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- JOHN EDWARD TEDDY WITBECK MD
6360 S 3000 E STE 100
SALT LAKE CITY, UT 84121-6923
Phone number: 801-365-1032
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Mailing Address
-- JOHN EDWARD TEDDY WITBECK MD
6360 S 3000 E STE 100
SALT LAKE CITY, UT 84121-6923
Phone number: 801-365-1032
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