Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

G Sam Wilson MD PC

Organization Specialist · NPI 1962521120

G Sam Wilson MD PC is a Specialist in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

440 Medical Dr
Bountiful, UT 84010-4950
Phone: (801) 298-9100
Fax: (801) 298-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1754341205 (UT)

Record details

NPI number1962521120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official G. Wilson — Provider · (801) 298-9100
NPI enumeratedMarch 28, 2007
Last updated in NPPESNovember 19, 2007
Mailing address440 Medical Dr, Bountiful, UT 84010-4950

Other providers in Bountiful