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Individual
WILLIAM G SUMSION
Active
Individual
WILLIAM G SUMSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120473-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009324104
SELECT HEALTH (IHC)
UT
01
—
216067
DMBA
UT
01
—
27766
PEHP
UT
01
—
3371410003
CIGNA
UT
01
—
4549223
AETNA
UT
01
—
870518224SU2
EMIA
UT
Enumeration date
09/22/2005
Last updated
08/22/2007
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