Individual
DANIEL WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 ROUND VALLEY DR STE 110, PARK CITY, UT 84060-7552
(801) 406-9601
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10378763-1205
UT
208M00000X
Hospitalist Physician
10378763-1205
UT
Other
Enumeration date
04/15/2014
Last updated
02/11/2026
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