LARRY T WILCKEN

VERNAL, UT
NPI1790817013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  158064-1205)
Enumeration Date2007-03-12
Last Update Date2010-03-16
Business Address
Dr. LARRY T WILCKEN MD
151 W 200 N
VERNAL, UT 84078-1907
Phone number: 435-789-3342
Mailing Address
Dr. LARRY T WILCKEN MD
3618 DRY FORK CANYON RD
VERNAL, UT 84078-9404
Phone number:
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