G Sam Wilson Md Pc in Bountiful - Specialist
G Sam Wilson Md Pc - NPI 1962521120
G Sam Wilson Md Pc is a Specialist in Bountiful, Utah. G Sam Wilson Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for G Sam Wilson Md Pc is 1962521120. The last update date is 2007-11-19.
G Sam Wilson Md Pc's current location address is 440 Medical Dr, Bountiful, Utah. You can contact this provider via phone number 8012989100 and fax number 8012982238. The mailing address for G Sam Wilson Md Pc is 440 Medical Dr, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | G Sam Wilson Md Pc |
|---|---|
| Address | 440 Medical Dr, Bountiful, Utah |
| Phone Number | 8012989100 |
| Fax Number | 8012982238 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Wilson Sam G. |
| Credentials | M.D. |
| Telephone Number | 8012989100 |
NPI Number Detail
| NPI Number | 1962521120 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 440 Medical Dr |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840104950 |
| Phone Number | 8012989100 |
| Fax Number | 8012982238 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1754341205 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5287442330001 | UT | -- |
Post Comment/ Review Below
What is the G Sam Wilson Md Pc's unique identification number?
The G Sam Wilson Md Pc has been assigned the NPI (National Provider Identifier) Number 1962521120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where G Sam Wilson Md Pc's facilities are geographically located?
The facilities of G Sam Wilson Md Pc are physically situated at the following location: 440 Medical Dr, Bountiful, UT, 840104950.
What is G Sam Wilson Md Pc's area of expertise and its corresponding taxonomy classification?
The G Sam Wilson Md Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the G Sam Wilson Md Pc receive the assignment of its 1962521120 from the Centers for Medicare & Medicaid Services?
The G Sam Wilson Md Pc was issued its 1962521120 by the Centers for Medicare & Medicaid Services on 2007-03-28.
When was the information regarding G Sam Wilson Md Pc most recently updated?
The details pertaining to the G Sam Wilson Md Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-11-19.
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