Individual
JUSTIN CARL WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10011 CENTENNIAL PKWY, STE. 150, SANDY, UT 84070-4156
(801) 545-8480
(801) 545-8495
Mailing address
10011 CENTENNIAL PKWY, STE. 150, SANDY, UT 84070-4156
(801) 545-8480
(801) 545-8495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MW 1480603
UT
Other
Enumeration date
12/08/2006
Last updated
12/20/2021
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