DR. Philip J. Wilson II, D.O.

NPI #1114902327 in Jefferson City, Missouri

Provider Information

NPI Number: 1114902327
Entity Type: Individual
Name: DR. Philip J. Wilson II, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: D.O.
Enumeration Date: Dec 9, 2005
Last Updated: Aug 7, 2008

Practice Location

Address: 1241 W STADIUM BLVD
City: Jefferson City
State: Missouri
ZIP Code: 65109-6023
Phone: (573) 556-7709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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