DR BRADLEY C WILSON INC NPI 1164577367

NPI Information

DR BRADLEY C WILSON INC is a family medicine in New Lexington, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR BRADLEY C WILSON INC NPI is 1164577367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7756 ST RT 37 EAST
NEW LEXINGTON, OH
ZIP 43764
Phone: (740) 342-3540
Fax: (740) 342-3879

The provider's authorized official is Bradley C Wilson .
The authorized official title is President and has the following contact phone number (740) 342-3540.

The CLIA number assigned to this NPI record is 36D1018331 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 11/18/2009.

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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