Search › Utah › 152W00000X
Jon Wilson, O.D
NPI 1760477731 · on the registry since 2005
Practice
- Address
- 165 W 200 N
71-7
Roosevelt, UT 84066 - Phone
- (435) 722-2981
- Fax
- (435) 722-3732
- Organisation at this address
- Roosevelt Vision Clinic, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah