Jared Kent Wilson, PA-C, MPAS, MED, ATC is a surgical physician assistant in Pocatello, ID with 13 years of experience. Jared Kent Wilson, PA-C, MPAS, MED, ATC NPI is 1275748089. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
777 HOSPITAL WAY
BUILDING A, SUITE 201
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-2714
The NPI 1275748089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/14/2007 and was last updated on 12/30/2011.