Donovan Dean Wilson

NPI #1093743726 in Bristol, Tennessee

Provider Information

NPI Number
1093743726
Entity Type
Individual
Name
Donovan Dean Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 29, 2006
Last Updated
May 20, 2019

Practice Location

Address
1 MEDICAL PARK BLVD
ZIP Code
37620-7430
Phone
(423) 844-1121

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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