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Individual

WILLIAM G SUMSION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
684 W 800 N, #110, OREM, UT 84057-3658
(801) 224-2250
(801) 224-2655
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783

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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