MR. Carlan A Wilson JR., CRNA
NPI #1326199092 in Grangeville, Idaho
Provider Information
- NPI Number
- 1326199092
- Entity Type
- Individual
- Name
- MR. Carlan A Wilson JR., CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Aug 4, 2011
Practice Location
- Address
- 607 W MAIN ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1345
- Phone
- (208) 983-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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