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Individual

CALEB DESPAIN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2210 KING BLVD, CASPER, WY 82604-3165
(307) 577-4240
(307) 577-0012
Mailing address
2210 KING BLVD, CASPER, WY 82604-3165
(307) 577-4240
(307) 577-0012

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11045A
WY

Other

Enumeration date
04/19/2012
Last updated
04/08/2020
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