EDITH DIANE WILSON

OLYMPIA, WA
NPI1972602969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: WY  5500A)
Additional Taxonomies208800000X Urology
(Licence: CO  36402)
Enumeration Date2006-09-22
Last Update Date2011-08-29
Business Address
Dr. EDITH DIANE WILSON MD
615 LILLY RD NE STE 175
OLYMPIA, WA 98506-5179
Phone number: 360-486-6772
Mailing Address
Dr. EDITH DIANE WILSON MD
615 LILLY RD NE STE 175
OLYMPIA, WA 98506-5179
Phone number: 360-486-6772