Individual
MRS. KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8333 N SILVERBELL RD, SUITE 161, TUCSON, AZ 85743-7373
(520) 202-7770
(520) 202-7773
Mailing address
8333 N SILVERBELL RD, SUITE 161, TUCSON, AZ 85743-7373
(520) 202-7770
(520) 202-7773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A9400
CA
207Q00000X
Family Medicine Physician
Primary
4689
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243878
—
AZ
Enumeration date
08/14/2006
Last updated
02/18/2013
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