| NPI | 1619421674 | 
|---|---|
| Doing Business As | DAVID E WILSON MD LLC | 
| Entity Type | Organization | 
| Authorized Contact | DAVID E WILSON Owner/Physician 816-804-5223  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R4908)  | 
| Enumeration Date | 2016-08-08 | 
| Last Update Date | 2024-05-03 |