Individual
DR. DONALD KEITH WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4505 WASATCH BLVD, SUITE 380, SALT LAKE CITY, UT 84124-4709
(801) 278-7508
(801) 272-9631
Mailing address
5780 WATERBURY WAY, #L, SALT LAKE CITY, UT 84121-1142
(801) 277-4987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1647061205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
1647061205
UT
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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