Individual
DR. JUSTIN WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604
(801) 374-1818
(801) 374-0163
Mailing address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
(801) 374-0163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
8227125-1205
UT
207W00000X
Ophthalmology Physician
MD154095
OR
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
8227125-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
LL17376
OR
Other
Enumeration date
08/15/2007
Last updated
06/28/2018
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