Charles A. Wilson D.o., LLC

NPI #1720393937 in Ewa Beach, Hawaii

Provider Information

NPI Number
1720393937
Entity Type
Organization
Organization Name
Charles A. Wilson D.o., LLC
Primary Specialty
Family Medicine
Enumeration Date
Aug 11, 2010
Last Updated
Aug 11, 2010

Practice Location

Address
91-2139 FORT WEAVER RD
Address 2
SUITE 213
State
Hawaii
ZIP Code
96706-3607
Phone
(808) 677-8008

Authorized Official

Name
DR. CHARLES ASHLEY WILSON, D.O.
Title
SOLE MEMBER
Phone
(808) 744-1906

Specialties & Taxonomy Codes

Specialty
Family Medicine

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