IndividualActive
Andrew Wilson, DO
NPI 1215464268 · Anesthesiology Physician · Riverton, UT
Provider details
- NPI number
- 1215464268
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0065653 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3741 W 12600 S
Riverton, UT 84065-7215
Phone: (801) 727-2056
Fax: (770) 701-6676
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3570
Salt Lake City, UT 84110-3570
Registry dates
- Enumerated
- 2017-05-20
- Last updated
- 2022-11-30
- Certified
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.