Individual
WILLIAM ALLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9261 OLD KEENE MILL RD, BURKE, VA 22015
(703) 451-9095
(703) 455-2239
Mailing address
9261 OLD KEENE MILL RD, BURKE, VA 22015
(703) 451-9095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32011
IN
207R00000X
Internal Medicine Physician
43184
FL
207R00000X
Internal Medicine Physician
Primary
VA0101037977
VA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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