NPI 1073608659

Carl Thayne Wilson, MD

Practitioner Anesthesiology Physician Provo, UT

Practice location

Address: 1034 North 500 West Utah Valley Regional Medical Center, Provo, UT 84604
Phone: (801) 507-5248
Fax: (801) 733-5618
Mailing address: 3340 North Center St #800, Lehi, UT 84043-7406

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 88-179937-1205 (UT)

Other Anesthesiology providers in Utah →

Registry record

NPI: 1073608659
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 15 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.