Individual
JONATHAN JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9911 N NEVADA ST STE 200, SPOKANE, WA 99218-1298
(509) 626-9420
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60246623
WA
Other
Enumeration date
04/17/2008
Last updated
07/23/2024
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