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Jill Mallory Fadal Wilson, M.D.

Diagnostic Radiology Physician in Park City, UT · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275928897

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Registry record

Entity type Individual (Type 1)
Name Jill Mallory Fadal Wilson
Credential M.D.
Sex Female
Practice address 1389 Center Dr Ste 200, Park City, UT, 84098
Fax (970) 484-4759
Enumeration date Mar 31, 2015
Last updated in NPPES Mar 4, 2024

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 15751A (WY) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License DR.0070579 (CO) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 10964555-1205 (UT) Primary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 35561 (NE) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jill Wilson practice?
The practice location on file with NPPES is in Park City, UT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jill Wilson?
The National Provider Identifier (NPI) for Jill Wilson is 1275928897, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-04.