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WILLIAM WILSON MD PC NPI 1457732000


NPI Information

NPI: 1457732000
Provider Name: WILLIAM WILSON MD PC
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
2860 CHANNING WAY STE 112
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-4381
Get Directions

WILLIAM WILSON MD PC is a surgery of the hand plastic surgery in Idaho Falls, ID. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. WILLIAM WILSON MD PC NPI is 1457732000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2860 CHANNING WAY STE 112
IDAHO FALLS, ID
ZIP 83404-532
Phone: (208) 524-4381
Fax: (208) 523-6477

The provider's authorized official is William P Wilson .
The authorized official title is Owner and has the following contact phone number (208) 524-4381.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the HandM 5527IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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