Jill Mallory Fadal Wilson, MD
Jill Mallory Fadal Wilson, MD is a Diagnostic Radiology in Park City, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2015, 11 years ago. Practices with Fort Collins Radiologic Associates PC, a 65-clinician group and accepts Medicare assignment. Licensed in Colorado, Nebraska, Utah and Wyoming.
- Years since qualifying
- 11
- Trained at
- Texas Tech University Health Science Center School of Medicine
- Licensed in
- CO, NE, UT, WY
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1389 Center Dr Ste 200Park City, UT 84098-7660
Phone: (970) 484-4757
Fax: (970) 484-4759
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 10964555-1205 (UT) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 15751A (WY) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence DR.0070579 (CO) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 35561 (NE) |
Record details
| NPI number | 1275928897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 31, 2015 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Fort Collins Radiologic Associates Pc — 65 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Park City
-
John Manuel Arias, MD
9010 Saddleback Rd, Park City, UT 84098-4740 · (952) 595-1100
-
William Randall Compton, MD
2531 Aspen Springs Dr, Park City, UT 84060-7537 · (435) 615-9307
-
Park City Imaging, Inc
1850 Sidewinder Dr #410, Park City, UT 84060-7471 · (435) 615-0250
-
US Radiology Partners of Texas Inc
8911 N Sackett Dr, Park City, UT 75063 · (435) 649-4765