Samuel M. Wilson, DO

NPI #1477865194 in Roosevelt, Utah

Provider Information

NPI Number: 1477865194
Entity Type: Individual
Name: Samuel M. Wilson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: Jul 10, 2010
Last Updated: Nov 2, 2021

Practice Location

Address: 210 W 300 N
City: Roosevelt
State: Utah
ZIP Code: 84066-2336
Phone: (435) 722-4691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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