Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL MALLORY FADAL WILSON, M.D.
ActiveJILL MALLORY FADAL WILSON, M.D. is a Diagnostic Radiology healthcare provider located in PARK CITY, Utah. NPI 1275928897 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · PARK CITY, UT
Registration Details
- NPI Number
- 1275928897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2015 (11.392731727266 yrs)
- Last Updated
- Mar 4, 2024
- Licenses
-
15751A (WY)DR.0070579 (CO)10964555-1205 (UT)35561 (NE)
Practice Information
- Address
-
1389 CENTER DR STE 200PARK CITY, UT, 840987660Browse UT providers · Browse ZIP 84098
- Phone
- 9704844757
- Fax
- 9704844759
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| JOHN MANUEL ARIAS | MD | 1649233214 |
| WILLIAM RANDALL COMPTON | M.D. | 1629098637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.