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

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X4042 (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.