Most Relevant Information
Provider Data
| NPI Number: | 1003217472 |
| Provider Name: | DAELYN WINTERBOTTOM |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 131629 |
Most Important Dates
| Enumeration Date: | 09/04/2014 |
| Last Updated: | 09/04/2014 |
Provider Practice Location
3123 W 1050 N
WEST POINT
UT
840157541
Practice Location Phone/Fax
| Phone: | 8017738518 |
| Fax: |
Provider Mailing Location
3123 W 1050 N
WEST POINT
UT
840157541
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |