Individual
DR. JOHN L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 531, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 531, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C3305
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104256001
—
AR
Enumeration date
08/18/2005
Last updated
02/12/2009
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