Search › Arizona › 152W00000X
Jacob Wilson, OD
NPI 1740974088 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2033-1 N Spruce
Tuba City, AZ 86045 - Phone
- (602) 576-2812
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-08
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