Dakota Wilson, PA-C

NPI #1992435234 in Pocatello, Idaho

Provider Information

NPI Number: 1992435234
Entity Type: Individual
Name: Dakota Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 10, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 1950 E CLARK ST
City: Pocatello
State: Idaho
ZIP Code: 83201-3314
Phone: (208) 232-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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