Search › Arizona › 104100000X
Seth Wilson
NPI 1669053443 · on the registry since 2021
Practice
- Address
- 2055 W Northern Ave
Phoenix, AZ 85021 - Phone
- (971) 219-8007
- Organisation at this address
- Chrysalis Shelter For Victims Of Domestic Violence Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- WA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-14
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 Arizona