Phillip Egbert Wilson, MD, PHD | |
324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 | |
(801) 408-8500 | |
Not Available |
Full Name | Phillip Egbert Wilson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 16 Years |
Location | 324 10th Ave Ste 154, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265686281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 7471471-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lds Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Phillip Egbert Wilson, MD, PHD 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 Ph: (801) 408-8500 | Phillip Egbert Wilson, MD, PHD 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 Ph: (801) 408-8500 |
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