# MALCOLM WILKINSON, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497851067
- **Authorized official:** MALCOLM WILKINSON (OWNER)
- **Authorized official phone:** (928) 639-1273

## Contact information

- **Practice address:** 300 S WILLARD ST, STE 101, COTTONWOOD, AZ 86326-4159
- **Practice address phone:** (928) 639-1273
- **Mailing address:** PO BOX 3425, COTTONWOOD, AZ 86326-2598
- **Mailing address phone:** (928) 634-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21001 | AZ | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 11/07/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113895 | — | AZ |
