| Organization Name: | DARCY H. WOLSEY MD LLC |
| NPI Number: | 1043465032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARCY HUNT WOLSEY (OWNER) |
| Mailing Address: | 1025 E 3300 S #b Slc |
| State: | UT US |
| Postal Code: | 841062849 |
| Phone Number: | 8012812020 |
| Fax Number: | 8014873687 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | 2921121205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |