Wilsonmedicalassociatesllc

NPI 1033431507 - Clinic/Center - 261QP2300X

NPI Details
NPI 1033431507
Enumeration Date 02/24/2010
Last Updated 02/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EVERETT JAN EVERETT
Position PHYSICIAN
Phone (740) 574-2220
Fax (740) 574-2215
Practice Location
1661 STATE ROUTE 522
UNIT #2
WHEELERSBURG OH, 45694-8120, US
Phone (740) 574-2220
Fax (740) 574-2215
Business Location
1661 STATE ROUTE 522
UNIT #2
WHEELERSBURG OH, 45694-8120, US
Phone (740) 574-2220
Fax (740) 574-2215
Toxanomy
Taxonomy Code 261QP2300X
License State Ohio
License Number 34-002236
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According to our database, Wilsonmedicalassociatesllc NPI is 1033431507, taxonomy code is 261QP2300X and license number is 34-002236, license state is located at Ohio. Wilsonmedicalassociatesllc physically located at 1661 State Route 522, Wheelersburg OH, 45694-8120. NPI Number 1033115704 has the healthcare provider type.

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1033431507 NPI number is provided on an as is basis without warranty of any kind. 1033431507 is maintained by the National Plan & Provider Enumeration System. The contents of Wilsonmedicalassociatesllc are for informational purposes only.