Individual
JAMES CARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7301 ROGERS AVE., EMERGENCY DEPARTMENT, FORT SMITH, AR 72903-4100
(479) 484-6241
(479) 484-6240
Mailing address
8524 S. 30TH TERRACE, FORT SMITH, AR 72908-8784
(479) 649-0700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ARR-4100
AR
207Q00000X
Family Medicine Physician
R4100
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011986003
—
AR
05
—
119860003
—
AR
05
—
200013420A
—
OK
Enumeration date
04/27/2006
Last updated
12/01/2008
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