IndividualActive
Carl Wyne, MD
NPI 1114947223 · Geriatric Medicine (Family Medicine) Physician · Murray, UT
Provider details
- NPI number
- 1114947223
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3114301205 (UT)
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.