Individual
SARA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528
(208) 381-6400
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M12880
ID
Other
Enumeration date
04/12/2012
Last updated
03/08/2017
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