Organization
WILLIAM WILSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM P WILSON III MD (OWNER)
(208) 524-4381
Entity
Organization
Contact information
Practice address
2860 CHANNING WAY STE 112, IDAHO FALLS, ID 83404-7532
(208) 524-4381
(208) 523-6477
Mailing address
2860 CHANNING WAY STE 112, IDAHO FALLS, ID 83404-7532
(208) 524-4381
(208) 523-6477
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
M 5527
ID
Other
Enumeration date
06/09/2015
Last updated
06/15/2015
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