Individual
DAVID NATHANIEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-2251
Mailing address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-2251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007929
AZ
Other
Enumeration date
01/02/2015
Last updated
11/05/2019
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