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Organization
MALCOLM WILKINSON, MD
Active
Organization
MALCOLM WILKINSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM WILKINSON (OWNER)
(928) 639-1273
Entity
Organization
Contact information
Practice address
300 S WILLARD ST, STE 101, COTTONWOOD, AZ 86326-4159
(928) 639-1273
Mailing address
PO BOX 3425, COTTONWOOD, AZ 86326-2598
(928) 634-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113895
—
AZ
Enumeration date
09/14/2006
Last updated
11/07/2007
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