William Wilson MD PC

NPI #1457732000 in Idaho Falls, Idaho

Provider Information

NPI Number: 1457732000
Entity Type: Organization
Organization Name: William Wilson MD PC
Primary Specialty: Plastic Surgery - Surgery of the Hand
Enumeration Date: Jun 9, 2015
Last Updated: Jun 15, 2015

Practice Location

Address: 2860 CHANNING WAY STE 112
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7532
Phone: (208) 524-4381

Authorized Official

Name: DR. WILLIAM P WILSON III, MD
Title: OWNER
Phone: (208) 524-4381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery - Surgery of the Hand — Surgery of the Hand	2082S0105X	Primary

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