G SAM WILSON MD PC is a specialist in Bountiful, UT. The provider is 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. G SAM WILSON MD PC NPI is 1962521120. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
440 MEDICAL DR
BOUNTIFUL, UT
ZIP 84010-950
Phone: (801) 298-9100
Fax: (801) 298-2238
The provider's authorized official is G. Sam Wilson .
The authorized official title is Provider and has the following contact phone number (801) 298-9100.
The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/19/2007.