Individual
GERALD J WILLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 E 100 N, GUNNISON, UT 84634-0000
(435) 528-2130
(435) 528-7796
Mailing address
PO BOX 600, GUNNISON, UT 84634-0600
(435) 528-2130
(435) 528-7796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59779471205
UT
Other
Enumeration date
01/18/2007
Last updated
07/20/2007
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