MEDICARE: DR. JAMES WYATT FRAMPTON D.V.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	1162212801	UT

General Provider Information

NPI Number	:	1093057705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WYATT FRAMPTON D.V.M.

Provider Business Mailing Address
First Line	:	1702 E WOODSIDE DR APT 4
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1644
Country	:	US
Telephone Number	:	801-597-3206
Fax Number	:	801-538-7169

Provider Business Practice Location Address
First Line	:	1702 E WOODSIDE DR APT 4
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1644
Country	:	US
Telephone Number	:	801-597-3206
Fax Number	:	801-538-7169

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	03/20/2013

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