DR. John Vernon Wilson, M.D.

NPI #1720275506 in Moberly, Missouri

Provider Information

NPI Number: 1720275506
Entity Type: Individual
Name: DR. John Vernon Wilson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Sep 26, 2007
Last Updated: Feb 28, 2012

Practice Location

Address: 1501 UNION AVE
Address 2: SUITE A
City: Moberly
State: Missouri
ZIP Code: 65270-9469
Phone: (660) 263-9095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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