Organization
RICHARD A WILSON JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALPHONSO WILSON JR. MD (PRESIDENT)
(202) 723-8000
Entity
Organization
Contact information
Practice address
106 IRVING ST NW, SUITE 315, WASHINGTON, DC 20010-2927
(202) 723-8000
(202) 882-7333
Mailing address
106 IRVING ST NW, SUITE 315, WASHINGTON, DC 20010-2927
(202) 723-8000
(202) 882-7333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD11903
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010017400
—
DC
Enumeration date
06/24/2010
Last updated
06/24/2010
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