Individual
DR. DAVID GREGG WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3006
(435) 734-2041
(435) 723-8028
Mailing address
PO BOX 719, BRIGHAM CITY, UT 84302-0719
(435) 734-2041
(735) 723-8028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
185588-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10650
—
UT
Enumeration date
08/31/2006
Last updated
06/19/2012
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