Individual
DR. BRIAN L WOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
158955-1205
UT
207VX0000X
Obstetrics Physician
1589551205
UT
Other
Enumeration date
06/04/2006
Last updated
09/17/2012
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