Provider Demographics
NPI:1174575153
Name:WOLSEY, DARCY HUNT (MD)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:HUNT
Last Name:WOLSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5089 S 900 E STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5736
Mailing Address - Country:US
Mailing Address - Phone:385-521-2020
Mailing Address - Fax:385-521-2040
Practice Address - Street 1:5089 S 900 E STE 200
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5736
Practice Address - Country:US
Practice Address - Phone:385-521-2020
Practice Address - Fax:385-521-2040
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT292112-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTI55974Medicare UPIN
UT000065253Medicare PIN