Individual
DARRELL L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84720-9746
(435) 868-5251
Mailing address
1303 N MAIN ST, CEDAR CITY, UT 84720-9746
(435) 868-5251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5115177-1205
UT
Other
Enumeration date
12/14/2006
Last updated
03/08/2021
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