Individual
JEFFREY CRAIG WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
(412) 605-6425
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
(412) 605-6425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD428510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016752350002
—
PA
05
—
3810009448
—
WV
Enumeration date
04/24/2006
Last updated
10/21/2020
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