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Clint John Wooten

  • Male

Medical Specialty

Professional ID

  • NPI: 1730317652
  • PECOS ID: 5092901108
  • Enrollment ID: I20161130001109
  • Credential(MD, DO, DPM):
  • Medical School: Medical College Of Wisconsin
  • Medical School Graduation Year: 2009

Hospital Service

  • Hospital CCN1: 460042
  • Business Name (LBN)1: Lakeview Hospital
  • Hospital CCN2: 460006
  • Business Name (LBN)2: Lds Hospital

Medical Practices

  • Organization Name: Ihc Health Services Inc
  • Group Practice ID assigned by PECOS: 1850209420
  • Number of Group Practice member: 2216

Location

  • Address1: 324 10th Ave
  • Address2: Suite 100
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84103
  • Phone Number: (801)408-7500

Location

  • Address1: 324 E 10th Ave
  • Address2: Suite 100
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84103
  • Phone Number:

Location

  • Address1: 5848 S 300 E
  • Address2: 120 Ortho Spec Grp Tosh
  • City: Murray
  • State: Utah
  • Zip Code: 84107
  • Phone Number: (801)314-4900

Location

  • Address1: 5848 S Fashion Blvd
  • Address2: The Ortho Speciality Hosp
  • City: Murray
  • State: Utah
  • Zip Code: 84107
  • Phone Number: (801)314-4100

Location

  • Address1: 700 S Hwy 99 3
  • Address2: Filmore Clinic
  • City: Fillmore
  • State: Utah
  • Zip Code: 84631
  • Phone Number: (435)743-5555

Location

  • Address1: 8 Th Ave And C St
  • Address2:
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84143
  • Phone Number:

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):