Individual
DORRIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4509
(480) 882-7438
Mailing address
10210 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4509
(480) 882-7438
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
01273
AZ
224Y00000X
Clinical Exercise Physiologist
Primary
T114083
AZ
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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