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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

G SAM WILSON MD PC

Active Organization

G SAM WILSON MD PC is a Specialist organization located in BOUNTIFUL, Utah. NPI 1962521120 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOUNTIFUL, UT

Registration Details

NPI Number
1962521120
Provider Type
Organization
NPI Issued
Mar 28, 2007 (19.392764101834 yrs)
Last Updated
Nov 19, 2007
License
1754341205 (UT)

Practice Information

Address
440 MEDICAL DR
BOUNTIFUL, UT, 840104950
Browse UT providers · Browse ZIP 84010
Phone
8012989100
Fax
8012982238
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in BOUNTIFUL, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.