Individual
MR. JAMES FRANK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1583
CA
174400000X
Specialist
CO001583
—
222Z00000X
Orthotist
Primary
CO001583
—
Other
Enumeration date
03/14/2007
Last updated
08/01/2012
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