| Peter V Wilson, MD | |
|
1580 W Antelope Dr, Suite #230, Layton, UT 84041-1160 | |
| (801) 728-9555 | |
| (801) 728-9556 |
| Full Name | Peter V Wilson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1580 W Antelope Dr, Layton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518998921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5619005-1205 (Utah) | Primary |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter V Wilson, MD Po Box 95970, South Jordan, UT 84095-0970 Ph: (801) 352-9500 | Peter V Wilson, MD 1580 W Antelope Dr, Suite #230, Layton, UT 84041-1160 Ph: (801) 728-9555 |
Richard G. Barton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2132 N Robins Dr Ste 307, Layton, UT 84041 Phone: 801-807-7755 Fax: 801-807-7597 | |
Joseph W Jensen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1580 W Antelope Dr Ste 130b, Layton, UT 84041 Phone: 017-289-5558 Fax: 801-728-9259 | |
Dr. Jon C Oberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Robert Jacobsen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1822 E 1950 N, Layton, UT 84040 Phone: 801-544-1830 | |
Wade B Larsen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Scott Lawson Baker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 | |
E Dean Flanders, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 |