Individual
MARK FORD WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
324 E 10TH AVE STE 200, SALT LAKE CITY, UT 84103-2869
(801) 408-7500
Mailing address
324 E 10TH AVE STE 200, SALT LAKE CITY, UT 84103-2869
(801) 831-5127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11318316-1204
UT
Other
Enumeration date
07/03/2014
Last updated
04/02/2020
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