NPI 1659525665

Matthew Allen Wilson, MD

Practitioner Otolaryngology Physician Logan, UT

Practice location

Address: 1350 N 500 E, Logan, UT 84341-2400
Phone: (435) 752-1693
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 7154791-1205 (UT)

Other Otolaryngology providers in Utah →

Registry record

NPI: 1659525665
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2008
Record last updated: 11 Apr 2019

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.