Organization
CRW MD LLC
Active
Organization
CRW MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R WILSON MD (OWNER)
(660) 829-7748
Entity
Organization
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 829-7748
Mailing address
PO BOX 171, HALLSVILLE, MO 65255-0171
(573) 829-7748
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
2001004858
MO
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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