Jill Mallory Fadal Wilson, M.D. is a diagnostic radiology radiology in Park City, UT with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jill Mallory Fadal Wilson, M.D. NPI is 1275928897. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2015
The provider's business location address is:
1389 CENTER DR STE 200
PARK CITY, UT
ZIP 84098-660
Phone: (970) 484-4757
Fax: (970) 484-4759
The NPI 1275928897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/31/2015 and was last updated on 3/4/2024.