IndividualActive
Amanda Wirth, M.D
NPI 1376612150 · Family Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1376612150
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 31067-88-1206 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4460 Highland Dr Ste 400
Salt Lake City, UT 84124-3565
Phone: (801) 272-4111
Fax: (801) 272-5989
Approximate (ZIP-level) locationGet directions
Mailing address
4460 Highland Dr Ste 400
Salt Lake City, UT 84124-3565
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.