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Walter Wootton, PA-C
NPI 1891121661 · on the registry since 2013
Practice
- Address
- 379 N 500 W
Vernal, UT 84078 - Phone
- (435) 789-1165
- Organisation at this address
- Basin Medical Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-16
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