Individual
DR. ROBERT TRAVIS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
517 KERRI COVE CT APT 104, MIDLOTHIAN, VA 23113-6873
(804) 397-9483
Mailing address
517 KERRI COVE CT APT 104, MIDLOTHIAN, VA 23113-6873
(804) 397-9483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101257846
VA
Other
Enumeration date
06/26/2012
Last updated
06/26/2015
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