Individual
DR. BRANDON JASON WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 MEMORIAL DR, EVERETT, PA 15537-7028
(814) 623-6191
(814) 623-5519
Mailing address
138 MEMORIAL DR, EVERETT, PA 15537-7028
(814) 623-6191
(814) 623-5519
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006021
PA
Other
Enumeration date
09/18/2008
Last updated
09/09/2019
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