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G Sam Wilson Md Pc
Specialist in Bountiful, Utah
NPI 1962521120

G Sam Wilson Md Pc is a Specialist based in Bountiful, UT. G Sam Wilson Md Pc practices in Bountiful, UT. The NPI Number for G Sam Wilson Md Pc is 1962521120 and holds a License No. 1754341205 (Utah).

The current practice location address for G Sam Wilson Md Pc is 440 Medical Dr, Bountiful, UT and can be reached out via phone at 801-298-9100 and via fax at 801-298-2238. You can also correspond with G Sam Wilson Md Pc through the mailing address at 440 MEDICAL DR, BOUNTIFUL, UT - 84010-4950 (mailing address contact number: 801-298-9100).

Location: 440 Medical Dr, Bountiful, UT, 84010-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962521120
Provider Name
G Sam Wilson Md Pc
Credential
Provider Entity Type
Organization
Address
440 Medical Dr, Bountiful, UT, 84010-4950
Phone Number
801-298-9100
Fax Number
801-298-2238
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5287442330001 05 UT
institution
Provider Business Practice Location Address Details
Address
440 Medical Dr
City
Bountiful
State
Utah
Zip
84010-4950
Phone Number
801-298-9100
Fax Number
801-298-2238
person
Provider Business Mailing Address Details
Address
440 Medical Dr
City
Bountiful
State
Utah
Zip
84010-4950
Phone Number
801-298-9100
Fax Number
801-298-2238
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1754341205 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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