Individual
GEOFFREY WILLIAM WILSON
Active
Individual
GEOFFREY WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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