Carl Edward Wyne
Family Doctor - Geriatric Medicine
5770 Fashion Blvd
Murray
, Utah 84107-6548
Carl Edward Wyne
Family Doctor - Geriatric Medicine
5770 Fashion Blvd
Murray
, Utah 84107-6548
(801) 314-4544
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Carl Edward Wyne
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Phone : (801) 314-4544
Second Address
- Carl Edward Wyne
- 5770 Fashion Blvd
- Murray, UT
- Zip : 84107-6548
- Phone : (801) 314-4544
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 3114301205 | UT |
National Provider Identifier
| NPI | 1114947223 |
|---|---|
| Provider Name | Carl Edward Wyne |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Murray, UT 84107-6548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 18/10/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.