Individual
WILSON COUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S JOYCE ST, SUITE 126, ARLINGTON, VA 22202-1872
(703) 521-6662
(703) 521-5991
Mailing address
1400 S JOYCE ST, SUITE 126, ARLINGTON, VA 22202-1872
(703) 521-6662
(703) 521-5991
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101020537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6096174
—
VA
Enumeration date
08/23/2005
Last updated
09/10/2007
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