Wanda Gayle Wilson DO

  • 1033182118 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Wanda Gayle Wilson DO is 1033182118 and actived since Thursday, February 9 2006. Wanda Gayle Wilson DO is an individual provider specializes in General Practice, primary practice location is 3559 Amazonas St, Jefferson City, MO 65109. You can also contact Wanda Gayle Wilson DO via telephone number is (573) 893-7848. Provider NPI information was last updated on 06/30/2009.

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Overview of Wanda Gayle Wilson DO

  • NPI number: 1043870017
  • Provider type: Individual
  • Specialty: General Practice
  • Gender: Female
  • Active since: 02/09/2006
  • Last updated: 06/30/2009

Primary Scrop of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: R8779
  • License State: MO

Provider Mailing Address

  • Address: 3559 Amazonas St
    Health Branch West
    Jefferson City, MO 65109
  • Phone: 573-893-7848
  • Fax: 573-893-1984

Provider Practice Location

  • Address: 3559 Amazonas St
    Jefferson City, MO 65109
  • Phone: 573-893-7848
  • Fax: 573-893-1984

Scope of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: R8779
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 241488329
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Wanda Gayle Wilson DO?
  • A: The npi number for Wanda Gayle Wilson DO is 1033182118.
  • Q: What are Wanda Gayle Wilson DO's specialties?
  • A: Wanda Gayle Wilson DO's specialties are General Practice and different specialities.
  • Q: What is the medical license for Wanda Gayle Wilson DO?
  • A: The medical license number for Wanda Gayle Wilson DO is R8779 and issued in MO in USA.
  • Q: Where is Wanda Gayle Wilson DO practice location?
  • A: Wanda Gayle Wilson DO is practicing at 3559 Amazonas St, Jefferson City, MO 65109.
  • Q: How to contact Wanda Gayle Wilson DO?
  • A: You can contact Wanda Gayle Wilson DO via 573-893-7848.