William John Self FNP-C

NPI # 

Practice Address:

6222 S Moffat Farm Ln

Salt Lake City, UT, 84121-6713

Practice Phone:

970-590-3773

License Number:

9475918-3102

License State:

UT

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Specialization:

General Practice

Taxonomy Code:

163WG0000X