Individual
PETER V WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 W ANTELOPE DR, SUITE #230, LAYTON, UT 84041-1160
(801) 728-9555
(801) 728-9556
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5619005-1205
UT
Other
Enumeration date
07/05/2006
Last updated
02/25/2016
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