Individual
JARED WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6585 N ORACLE RD, TUCSON, AZ 85704-5614
(520) 636-8818
Mailing address
6585 N ORACLE RD, TUCSON, AZ 85704-5614
(520) 614-6953
(520) 229-2092
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
65387
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
65387
AZ
Other
Enumeration date
04/17/2017
Last updated
09/20/2024
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