Casey V Wilson, PHYSICIAN ASSISTANT

NPI #1043324148 in Deland, Florida

Provider Information

NPI Number
1043324148
Entity Type
Individual
Name
Casey V Wilson, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Aug 18, 2006
Last Updated
Apr 6, 2019

Practice Location

Address
999 W PLYMOUTH AVE
City
Deland
State
Florida
ZIP Code
32720-3134
Phone
(386) 740-7080

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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