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Individual

MALCOLM WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 S WILLARD ST, STE 101, COTTONWOOD, AZ 86326-4159
(938) 639-1273
Mailing address
PO BOX 3425, COTTONWOOD, AZ 86326-2598
(938) 634-0665

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21001
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113895
AZ
Enumeration date
09/14/2006
Last updated
11/07/2007
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