CLIFFORD C WILSON

ANCHORAGE, AK
NPI1457503823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/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
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