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Individual

DR. CHARLES A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6360 BOULDER HWY, LAS VEGAS, NV 89122-7301
(725) 228-4520
(877) 889-5390
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6836
(407) 232-9316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1782
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295781359
NV
Enumeration date
05/26/2006
Last updated
11/14/2024
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