Individual
DR. JOHN HANNAHS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 S HIGHLAND DR APT 339, SALT LAKE CITY, UT 84106-3197
(443) 301-5776
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0044833
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057621200
—
MD
Enumeration date
09/20/2006
Last updated
09/24/2020
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