Individual
DR. CHRISTIAN CHASE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-5183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
281520
NY
207R00000X
Internal Medicine Physician
MD466272
PA
208M00000X
Hospitalist Physician
281520
NY
Other
Enumeration date
03/28/2013
Last updated
01/09/2025
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