Thomas, Mark Wilson

Thomas, Mark Wilson is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Thomas, Mark Wilson can be contacted via phone (208) 360-3560.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MED-PHYS-LIC-47547 Montana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02004574A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO222639 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 12106328-1204 Utah

Profile Details

NPI number 1881954634
LBN Legal business name Thomas, Mark Wilson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Jan 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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