Organization
WILSON MEDICAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L WILSON PA-C PA (PROVIDER/OWNER)
(360) 748-9320
Entity
Organization
Contact information
Practice address
108 POLARIS PL, CHEHALIS, WA 98532-9023
(360) 748-9320
(360) 748-9396
Mailing address
108 POLARIS PL, CHEHALIS, WA 98532-9023
(360) 748-9320
(360) 748-9396
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PA10000075
WA
Other
Enumeration date
10/09/2007
Last updated
12/20/2007
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