SearchMissouri208D00000X

Wanda Wilson, DO

NPI 1033182118 · on the registry since 2006

Practice

Address
3559 Amazonas St
Jefferson City, MO 65109
Phone
(573) 893-7848
Fax
(573) 893-1984

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri