G SAM WILSON MD PC

Specialist

Active Organization
NPI: 1962521120

Practice Address

440 MEDICAL DR
Bountiful, UT 84010

Phone: (801) 298-9100

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1754341205 (UT)

Frequently Asked Questions

NPI 1962521120 is the National Provider Identifier for G SAM WILSON MD PC, a Specialist provider located in Bountiful, UT. This NPI was enumerated on March 28, 2007.

Quick Facts

NPI
1962521120
Type
Organization
Enumerated
Mar 28, 2007
Last Updated
Nov 19, 2007

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