Individual
MR. ROBERT WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 918-6059
Mailing address
2788 GOLDEN EAGLE DR, SIERRA VISTA, AZ 85650-6868
(478) 918-6059
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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