Individual provider · Type 1 NPI
Deidre A. Wilson, DO
General Practice Physician · Phoenix, AZ
NPI number
1760634471
Active
Practice location
8326 N 7th St
Phoenix, AZ 85020-3441
Mailing address
1180 Newfield Ave
Stamford, CT 06905-1409
Other practice locations
- 103 E Indiana Ave # B, Spokane, WA 99207-2317 · (509) 444-9035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4042 (AZ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1760634471
Deidre A. Wilson, DO's National Provider Identifier is 1760634471, issued on Oct 14, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 8, 2023.