Individual
THOMAS CARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5330 S 900 E STE 120, SALT LAKE CITY, UT 84117-3504
(801) 266-0055
(801) 266-0056
Mailing address
5330 S 900 E STE 120, SALT LAKE CITY, UT 84117-3504
(801) 266-0055
(801) 266-0056
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40720
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5304262-1205
UT
Other
Enumeration date
06/16/2009
Last updated
11/05/2020
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