DIRK TAYLOR WILSON

OGDEN, UT
NPI1184365413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT  14211531-1204)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-01
Last Update Date2025-05-22
Business Address
DIRK TAYLOR WILSON
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-3364
Mailing Address
DIRK TAYLOR WILSON
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: