Individual
JOHN TRAVIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6550
(412) 359-6494
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6550
(412) 359-6494
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD433645
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD433645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027273630001
—
PA
05
—
3810023662
—
WV
Enumeration date
09/25/2007
Last updated
10/05/2020
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