William a Wilson MD PC

NPI #1376727792 in Burke, Virginia

Provider Information

NPI Number: 1376727792
Entity Type: Organization
Organization Name: William a Wilson MD PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 20, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 9261 OLD KEENE MILL RD
City: Burke
State: Virginia
ZIP Code: 22015
Phone: (703) 451-9095

Authorized Official

Name: WILLIAM ALLEN WILSON
Title: PRESIDENT PHYSICIAN
Phone: (703) 451-9095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Internal Medicine	207R00000X

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