Individual
JOYCE MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6003
(573) 635-8000
(573) 556-1710
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-1710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BB4745785-2005013504
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2011000670
MO
Other
Enumeration date
05/23/2007
Last updated
06/28/2023
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