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Jill Mallory Fadal Wilson, MD
Diagnostic Radiology Physician in Park City, Utah
NPI 1275928897

Jill Mallory Fadal Wilson is a Diagnostic Radiology Physician based in Fort Collins, UT and is specialized in Diagnostic Radiology. Jill Mallory Fadal Wilson practices in Park City, UT and has the professional credentials of MD. The NPI Number for Jill Mallory Fadal Wilson is 1275928897 and holds a License No. 15751A (Utah).

The current practice location address for Jill Mallory Fadal Wilson is 1389 Center Dr Ste 200, Park City, UT and can be reached out via phone at 970-484-4757 and via fax at 970-484-4759.

Location: 1389 Center Dr Ste 200, Park City, UT, 80525-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275928897
Provider Name
Jill Mallory Fadal Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1389 Center Dr Ste 200, Park City, UT, 80525-4325
Phone Number
970-484-4757
Fax Number
970-484-4759
Provider Enumeration Date
03/31/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1389 Center Dr Ste 200
City
Park City
State
Utah
Zip
84098-7660
Phone Number
970-484-4757
Fax Number
970-484-4759
person
Provider Business Mailing Address Details
Address
1389 Center Dr Ste 200
City
Park City
State
Utah
Zip
84098-7660
Phone Number
970-484-4757
Fax Number
970-484-4759
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
15751A (Wyoming)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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