Individual
FRANK JAMES WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 W MARKHAM ST, LITTLE ROCK, AR 72205-3866
(501) 280-4384
Mailing address
4815 W MARKHAM ST, SLOT 61, LITTLE ROCK, AR 72205-3866
(501) 280-4384
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C4427
AR
2083P0901X
Public Health & General Preventive Medicine Physician
C4427
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104603001
—
AR
Enumeration date
07/10/2006
Last updated
05/18/2010
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