Individual
DALLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2276 E RIVERSIDE DR, ST GEORGE, UT 84790-2636
(435) 773-5938
Mailing address
521 S 100 E, SAINT GEORGE, UT 84770-3925
(435) 773-5938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10408308-9934
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
05/17/2017
Last updated
09/08/2023
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