Gwen Wilson, PA

NPI #1497727218 in Gallup, New Mexico

Provider Information

NPI Number
1497727218
Entity Type
Individual
Name
Gwen Wilson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 6, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
2111 COLLEGE DR
Address 2
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
City
Gallup
ZIP Code
87301-5600
Phone
(505) 863-1820

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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