Individual
ROBERT WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 HOSPITALITY LN, LOWELL, AR 72745-8359
(479) 657-6600
(479) 657-6632
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3037
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145110001
—
AR
Enumeration date
06/14/2006
Last updated
11/02/2025
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