Individual
PAUL T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
653 E COTTONWOOD LANE, CASA GRANDE, AZ 85122
(520) 836-9606
(520) 836-3964
Mailing address
653 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 836-9606
(520) 836-3964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
256
AZ
Other
Enumeration date
09/14/2007
Last updated
11/02/2011
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