Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA GAYLE WILSON, DO
ActiveWANDA GAYLE WILSON, DO is a General Practice healthcare provider located in JEFFERSON CITY, Missouri. NPI 1033182118 is currently active in the NPPES registry. Verify at CMS.
General Practice · JEFFERSON CITY, MO
Registration Details
- NPI Number
- 1033182118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2006 (20.531512798014 yrs)
- Last Updated
- Jun 30, 2009
- License
-
R8779 (MO)
Practice Information
- Address
-
3559 AMAZONAS STJEFFERSON CITY, MO, 65109Browse MO providers · Browse ZIP 65109
- Phone
- 5738937848
- Fax
- 5738931984
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in JEFFERSON CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MARK CHRISTOPHER LINK | M.D. | 1679514293 |
| CAREY DIANA VAUGHAN | DO | 1821352857 |
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.