Wynn, Gregory Scott

Wynn, Gregory Scott is an individual health care provider with primary practice located at 716 W 800 N Ste 300 , Orem UT 84057-6300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wynn, Gregory Scott can be contacted via phone (801) 224-0421.

Contact Information

Primary practice address
716 W 800 N Ste 300 Orem UT 84057-6300
Fax: (801) 224-0821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 97-341832-1205 Utah

Profile Details

NPI number 1376550855
LBN Legal business name Wynn, Gregory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376550855 NPPES
Utah MEDICAID D0999

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