Individual
WILSON DESHON CHRISTIAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
(573) 632-5876
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0000024792
TN
367500000X
Certified Registered Nurse Anesthetist
0024179286
VA
367500000X
Certified Registered Nurse Anesthetist
006320
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
2018040400
MO
367500000X
Certified Registered Nurse Anesthetist
3008612
KY
367500000X
Certified Registered Nurse Anesthetist
7809
MA
367500000X
Certified Registered Nurse Anesthetist
AP137488
TX
Other
Enumeration date
04/15/2014
Last updated
07/18/2025
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