Individual
DR. JOHN VERNON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W BROADWAY STE 4A, COLUMBIA, MO 65203-3842
(573) 443-0937
Mailing address
1801 CALEDON CT, COLUMBIA, MO 65203-8458
(636) 734-7617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010027808
MO
208000000X
Pediatrics Physician
MD.MD.70061718
WA
Other
Enumeration date
09/26/2007
Last updated
03/26/2026
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