| Dr George Samuel Wilson, MD | |
|
1217 E 1650 S, Bountiful, UT 84010 | |
| (801) 808-9544 | |
| Not Available |
| Full Name | Dr George Samuel Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1217 E 1650 S, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598853079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1754341205 (Utah) | Primary |
| Entity Name | Aspen Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184210031 PECOS PAC ID: 8527472018 Enrollment ID: O20210125000529 |
| Entity Name | Bl Anderson Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821627639 PECOS PAC ID: 5395176473 Enrollment ID: O20220315002461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Samuel Wilson, MD 1217 E 1650 S, Bountiful, UT 84010-1586 Ph: (801) 808-9544 | Dr George Samuel Wilson, MD 1217 E 1650 S, Bountiful, UT 84010 Ph: (801) 808-9544 |
Allison Hanna, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 W 2600 S, Bountiful, UT 84010 Phone: 801-298-9157 Fax: 801-298-9156 | |
Raymond Paul Ward, MD-PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 S 400 E, Ste 100, Bountiful, UT 84010 Phone: 801-397-6200 Fax: 801-397-6201 | |
William C Draper, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Dr. Alisa Ann Knowlton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1020 Fax: 801-292-8369 | |
Ashley Curtis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 208-234-4700 | |
Dr. David Nathaniel Arthur Ryan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 W 2600 S, Bountiful, UT 84010 Phone: 801-298-9155 Fax: 801-298-9156 | |
Dr. Benz Gulati Pimsakul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6300 |