Richard C Wilson, OD

NPI #1538143540 in Raytown, Missouri

Provider Information

NPI Number: 1538143540
Entity Type: Individual
Name: Richard C Wilson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 2, 2005
Last Updated: Nov 12, 2010

Practice Location

Address: 6708 RAYTOWN RD
City: Raytown
State: Missouri
ZIP Code: 64133-5272
Phone: (816) 353-1872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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