GREGORY WILSON

MOBERLY, MO
NPI1730150673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  132362)
Enumeration Date2006-01-30
Last Update Date2008-04-02
Business Address
-- GREGORY WILSON CRNA
1515 UNION AVE
MOBERLY, MO 65270-9407
Phone number: 573-686-5550
Mailing Address
-- GREGORY WILSON CRNA
1303 QUAIL HAVEN DR
MOBERLY, MO 65270-3837
Phone number: 573-686-5550