Individual
DR. GEORGE P WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 GLEN EAGLE DR, COLUMBIA, MO 65203-4834
(573) 443-7893
Mailing address
4402 GLEN EAGLE DR, COLUMBIA, MO 65203-4834
(573) 443-7893
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
26579
MO
2085R0202X
Diagnostic Radiology Physician
Primary
26579
MO
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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