Individual provider · Type 1 NPI
Peter W. Wilson, PA-C
Surgical Physician Assistant · Washington, PA
NPI number
1932201019
Active
Practice location
95 Leonard Ave, Building 1, Suite 202
Washington, PA 15301-3368
Fax (724) 503-4156
Mailing address
520 Jefferson Ave
Jeannette, PA 15644-2538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA052493 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1932201019
Peter W. Wilson, PA-C's National Provider Identifier is 1932201019, issued on Sep 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, PA. The record was last updated on Jan 11, 2017.