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Individual

DR. DAVID COLE WILSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1355 RICHMOND RD., STAUNTON, VA 24402-4000
(540) 332-2153
(540) 332-2210
Mailing address
1355 RICHMOND RD., STAUNTON, VA 24402-4000
(540) 332-2153
(540) 332-2210

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
36985
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7165030
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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