Individual
JASON B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 GRAMMONT ST, STE 300, MONROE, LA 71201-7403
(318) 388-4030
(318) 325-8437
Mailing address
312 GRAMMONT ST, STE 300, MONROE, LA 71201-7403
(318) 388-4030
(318) 324-3334
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13062R
LA
Other
Enumeration date
05/31/2005
Last updated
04/22/2022
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