Search › Idaho › 363A00000X
Dakota Wilson, PA-C
NPI 1992435234 · on the registry since 2022
Practice
- Address
- 1950 E Clark St
Pocatello, ID 83201 - Phone
- (208) 232-7246
- Organisation at this address
- Lisa M Miller
Stephen M Maloff Md Pa
Prism Family Medicine Llc
Michael J. Gregson, M.D., P.A.
Western Pathology Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 921 S 8th Ave Stop 8253, Pocatello, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-26
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 Idaho