Individual
MR. BARRY K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
(360) 330-8642
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A103336
CA
207L00000X
Anesthesiology Physician
MD191134
OR
207L00000X
Anesthesiology Physician
MD60207086
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
095930
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
103336
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD 60207086
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD436454
PA
Other
Enumeration date
10/30/2007
Last updated
09/19/2023
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