Individual
DR. ROBERT WHITING WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 TOWN CENTER DR, STE 218, RESTON, VA 20190-3215
(703) 437-8324
(703) 709-0675
Mailing address
1800 TOWN CENTER DR STE 218, RESTON, VA 20190-3238
(703) 437-8324
(703) 536-7407
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101032806
VA
207QA0505X
Adult Medicine Physician
MD039356
DC
Other
Enumeration date
08/16/2006
Last updated
08/24/2012
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