MARK WILTBANK

Counselor

Active Individual
NPI: 1013205152

Practice Address

525 W. 200 N.
Mona, UT 84648

Phone: (435) 623-2825

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1013205152 is the National Provider Identifier for MARK WILTBANK, a Counselor provider located in Mona, UT. This NPI was enumerated on July 11, 2011.
MARK WILTBANK practices at 525 W. 200 N., Mona, UT 84648.

Quick Facts

NPI
1013205152
Type
Individual
Enumerated
Jul 11, 2011
Last Updated
Jul 11, 2011

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