Robert Harrison Wilson MD
NPI #1851561682 in University Place, Washington
Provider Information
- NPI Number
- 1851561682
- Entity Type
- Organization
- Organization Name
- Robert Harrison Wilson MD
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 7, 2008
- Last Updated
- Apr 4, 2016
Practice Location
- Address
- 4401 BRIDGEPORT WAY W
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4201
- Phone
- (253) 564-4157
Authorized Official
- Name
- MR. JONATHAN KABOOS
- Title
- OFFICE MANAGER
- Phone
- (253) 564-4157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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