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Individual

JASON R WILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0001
(812) 485-4000
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01073878A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01073878A
IN

Other

Enumeration date
04/09/2008
Last updated
05/20/2022
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