Samuel M. Wilson, DO
Samuel M. Wilson, DO is a Dermatology in Roosevelt, Utah. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2010, 16 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Utah and Washington.
- Years since qualifying
- 16
- Trained at
- Edward via Col of Osteo Medicine-Virginia Campus
- Licensed in
- UT, WA
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
210 W 300 NRoosevelt, UT 84066-2336
Phone: (435) 722-4691
Fax: (435) 722-9291
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 5131797-1204 (UT) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence OP60440339 (WA) |
Record details
| NPI number | 1477865194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 10, 2010 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 210 W 300 N, Roosevelt, UT 84066-2336 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS |
| Graduated | 2010 (16 years in practice) |
| Group practice | Uintah Basin Medical Center — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Roosevelt
-
Northeastern Utah Medical Group
210 W 300 N 7-3, Roosevelt, UT 84066 · (435) 722-3971