Wylie, James Derek

Wylie, James Derek is an individual health care provider with primary practice located at 5848 S Fashion Blvd , Murray UT 84107-6157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wylie, James Derek can be contacted via phone (801) 314-4100.

Contact Information

Primary practice address
5848 S Fashion Blvd Murray UT 84107-6157
Phone: (801) 314-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 55564 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 270960 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 8438015-1205 Utah

Profile Details

NPI number 1760771794
LBN Legal business name Wylie, James Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Sep 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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