Individual
SCOTT W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 MOUNTAIN VIEW ST, POWELL, WY 82435-2212
(307) 754-7257
Mailing address
702 PLATINUM AVE, CODY, WY 82414-3423
(307) 578-1985
(307) 578-1938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
325
WY
Other
Enumeration date
10/12/2006
Last updated
02/17/2021
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