Wilson Ent Psc

NPI #1336249127 in Glasgow, Kentucky

Provider Information

NPI Number: 1336249127
Entity Type: Organization
Organization Name: Wilson Ent Psc
Primary Specialty: Otolaryngology
Enumeration Date: Sep 22, 2006
Last Updated: Jan 15, 2009

Practice Location

Address: 102 C PHYSICIANS BLVD
City: Glasgow
State: Kentucky
ZIP Code: 42141
Phone: (270) 651-2433

Authorized Official

Name: DR. JEFFREY LEE WILSON, MD
Title: PRESEIDENT
Phone: (270) 651-2433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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