CLIFFORD C WILSON

ANCHORAGE, AK
NPI1457503823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AK  1055)
Enumeration Date2008-10-16
Last Update Date2013-07-22
Business Address
CLIFFORD C WILSON ANP
4320 DIPLOMACY DR SUITE 1500
ANCHORAGE, AK 99508-5925
Phone number: 907-729-2500
Mailing Address
CLIFFORD C WILSON ANP
4501 DIPLOMACY DR ATTN: PROVIDER ENROLLMENT SERVICES
ANCHORAGE, AK 99508-5919
Phone number: 907-729-8624