Individual
DR. GEORGE SAMUEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1217 E 1650 S, BOUNTIFUL, UT 84010
(801) 808-9544
Mailing address
1217 E 1650 S, BOUNTIFUL, UT 84010-1586
(801) 808-9544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1754341205
UT
Other
Enumeration date
10/10/2006
Last updated
05/22/2018
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