WILSON INTERVENTIONAL CLINIC PA NPI 1467547141

NPI Information

WILSON INTERVENTIONAL CLINIC PA is a vascular and interventional radiology radiology in Mountain Home, AR. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. WILSON INTERVENTIONAL CLINIC PA NPI is 1467547141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 HOSPITAL DR STE 3D
MOUNTAIN HOME, AR
ZIP 72653-952
Phone: (870) 425-3737
Fax: (870) 425-3742

The provider's authorized official is Matthew B Wilson .
The authorized official title is President and has the following contact phone number (870) 425-3737.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/27/2010.

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:

Other Identifiers

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