PAUL STUART WILSON

SHREVEPORT, LA
NPI1902838105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  020189)
Additional Taxonomies207RA0401X Internal Medicine, Addiction Medicine
(Licence: LA  MD.020189)
Enumeration Date2006-07-07
Last Update Date2022-12-01
Business Address
PAUL STUART WILSON MD
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
Mailing Address
PAUL STUART WILSON MD
1666 E BERT KOUN LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
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