Individual
PETER W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
95 LEONARD AVE, BUILDING 1, SUITE 202, WASHINGTON, PA 15301-3368
(724) 206-0610
(724) 503-4156
Mailing address
520 JEFFERSON AVE, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA052493
PA
Other
Enumeration date
09/01/2006
Last updated
01/11/2017
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