Mark Wiltbank
NPI 1013205152 · on the registry since 2011
Practice
- Address
- 525 W. 200 N.
Mona, UT 84648 - Phone
- (435) 623-2825
- Fax
- (435) 623-2827
- Organisation at this address
- Spirit Lake Ranch, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 47
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Male
- Record last updated
- 2011-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah