MR. Derek Edward Wilson, PA-C
NPI #1417034026 in Independence, Kansas
Provider Information
- NPI Number
- 1417034026
- Entity Type
- Individual
- Name
- MR. Derek Edward Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jan 14, 2010
Practice Location
- Address
- 800 W LAUREL ST
- City
- Independence
- State
- Kansas
- ZIP Code
- 67301-3211
- Phone
- (620) 332-3280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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