CARL THAYNE WILSON

PROVO, UT
NPI1073608659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  88-179937-1205)
Enumeration Date2006-10-03
Last Update Date2012-10-15
Business Address
-- CARL THAYNE WILSON MD
1034 NORTH 500 WEST UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Phone number: 801-507-5248
Mailing Address
-- CARL THAYNE WILSON MD
3340 NORTH CENTER ST #800
LEHI, UT 84043-7406
Phone number: 801-990-1911