Individual
GEOFFREY WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, ANESTHESIOLOGY DEPT, BETHESDA, MD 20889-0004
(301) 455-8778
Mailing address
8901 WISCONSIN AVE, ANESTHESIOLOGY DEPT, BETHESDA, MD 20889-0004
(301) 455-8778
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238779
VA
208D00000X
General Practice Physician
0101238779
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101238779
MEDICAL LICENSE
VA
Enumeration date
01/18/2006
Last updated
11/23/2016
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