ROBERT HARRISON WILSON MD NPI 1851561682

NPI Information

ROBERT HARRISON WILSON MD is a specialist in University Place, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROBERT HARRISON WILSON MD NPI is 1851561682. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Robert H. Wilson, Md.

The provider's business location address is:

4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
ZIP 98466-201
Phone: (253) 564-4157
Fax: (253) 564-4813

The provider's authorized official is Jonathan Kaboos .
The authorized official title is Office Manager and has the following contact phone number (253) 564-4157.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 4/4/2016.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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