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Individual

DAVID T WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5825 E CALLE GUADALUPE, GUADALUPE, AZ 85283-2664
(833) 855-9973
Mailing address
600 1ST ST NW STE 101, MASON CITY, IA 50401-2932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011796
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2022
Last updated
07/10/2025
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