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Individual
DR. AMY WILSON
Active
Individual
DR. AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6276
OK
207R00000X
Internal Medicine Physician
E-12276
AR
208M00000X
Hospitalist Physician
E-12276
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/24/2016
Last updated
12/19/2023
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