DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EVAN JONATHAN WILSON, IDC

Active Sole Proprietor

MR. EVAN JONATHAN WILSON, IDC is a Independent Duty Corpsman healthcare provider located in YUMA, Arizona. NPI 1003298571 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · YUMA, AZ

Registration Details

NPI Number
1003298571
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2015 (11.00065602781 yrs)
Last Updated
Sep 16, 2015
Sole Proprietor
Yes

Practice Information

Address
2989 EAST AROW ST
YUMA, AZ, 85365
Browse AZ providers · Browse ZIP 85365
Phone
3104087127
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in YUMA, AZ

Name Credential NPI
WILLIAM FRANKLIN CRITTENDEN 1407062052
MISS APRIL D. DUNCAN SFIDC 1043416001
PERFECTO B CRONEMEYER IDC 1467637314
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.