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 |