Individual
JOHN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 E 32ND ST, JOPLIN, MO 64804-4034
(417) 347-2273
(417) 347-2277
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-2273
(417) 347-2277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013021433
MO
207Q00000X
Family Medicine Physician
01036901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336610
—
IN
Enumeration date
02/08/2006
Last updated
10/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us