Organization · Type 2 NPI
William Wilson MD PC
Surgery of the Hand (Plastic Surgery) Physician · Idaho Falls, ID
NPI number
1457732000
Active
Practice location
2860 Channing Way Ste 112
Idaho Falls, ID 83404-7532
Fax (208) 523-6477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician Primary | 2082S0105X | M 5527 (ID) |
Surgery of the Hand (Plastic Surgery) Physician: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
About NPI 1457732000
William Wilson MD PC's National Provider Identifier is 1457732000, issued on Jun 9, 2015. The primary taxonomy on file is Surgery of the Hand (Plastic Surgery) Physician (2082S0105X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 15, 2015.