Roy C. Wilson M.D.

NPI 1639180193 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1639180193
Gender Male
Enumeration Date 08/10/2006
Last Updated 04/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1504 S GRAND BLVD
SAINT LOUIS MO, 63104-1304, US
Phone (314) 531-1770
Fax (314) 531-4869
Business Location
1504 S GRAND BLVD
SAINT LOUIS MO, 63104-1304, US
Phone (314) 531-1770
Fax (314) 531-4869
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036108411
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According to our database, Roy C. Wilson M.D. NPI is 1639180193, taxonomy code is 2084P0800X and license number is 036108411, license state is located at Illinois. Roy C. Wilson M.D. physically located at 1504 S Grand Blvd, Saint Louis MO, 63104-1304. NPI Number Roy C. Wilson M.D. has the Individual type.

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1639180193 NPI number is provided on an as is basis without warranty of any kind. 1639180193 is maintained by the National Plan & Provider Enumeration System. The contents of Roy C. Wilson M.D. are for informational purposes only.