Individual
MR. SCOTT J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
451 W CHEW ST, SUITE 409, ALLENTOWN, PA 18102-3472
(610) 770-3130
(610) 770-3452
Mailing address
421 W CHEW ST, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN250030L
PA
Other
Enumeration date
11/10/2005
Last updated
07/09/2007
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