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Individual

ROBERT BRUCE WILSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1442
(704) 797-0065
(704) 797-0067
Mailing address
320 JAKE ALEXANDER BLVD W, SUITE 103, SALISBURY, NC 28147-1442
(704) 797-0065
(704) 797-0067

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9601527
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
9601527
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891269V
NC
Enumeration date
02/01/2006
Last updated
08/25/2020
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