Individual
DALE G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 GOETHALS DR STE E, RICHLAND, WA 99352-3301
(509) 942-3095
(509) 942-3097
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60957094
WA
2086S0129X
Vascular Surgery Physician
Primary
MD60957094
WA
Other
Enumeration date
04/10/2012
Last updated
09/09/2019
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