Brandon James Wilson, PA-C

NPI #1043775414 in Kodiak, Alaska

Provider Information

NPI Number: 1043775414
Entity Type: Individual
Name: Brandon James Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 9, 2019
Last Updated: Aug 20, 2020

Practice Location

Address: USCG BASE KODIAK ROCKMORE-KING CLINIC
Address 2: 200 ALBATROSS AVE BLDG N-46
City: Kodiak
State: Alaska
ZIP Code: 99615-6810
Phone: (907) 487-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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