DR. John David Wilson, MD

NPI #1104071224 in Grants Pass, Oregon

Provider Information

NPI Number: 1104071224
Entity Type: Individual
Name: DR. John David Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 18, 2008
Last Updated: Jul 6, 2010

Practice Location

Address: 495 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527-5681
Phone: (541) 476-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Adult Medicine — Adult Medicine	207QA0505X
Family Medicine	207Q00000X	Primary

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