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Organization
CHARLES A. WILSON D.O., LLC
Active
Organization
CHARLES A. WILSON D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ASHLEY WILSON D.O. (SOLE MEMBER)
(808) 744-1906
Entity
Organization
Contact information
Practice address
91-2139 FORT WEAVER RD, SUITE 213, EWA BEACH, HI 96706-3607
(808) 677-8008
(808) 677-8007
Mailing address
91-2139 FORT WEAVER RD, SUITE 213, EWA BEACH, HI 96706-3607
(808) 677-8008
(808) 677-8007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS 1154
HI
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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