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James Wilson

NPI 1942894555 · on the registry since 2021

Practice

Address
6958 Nebraska Ave Bldg 1608
Fort Leonard Wood, MO 65473
Phone
(573) 596-9877
Clinicians at this address
27

Registry record

Primary taxonomy
163WI0600X
163WI0600X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-24

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