Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILSON PERSHING STEVENSON III
Active Sole ProprietorMR. WILSON PERSHING STEVENSON III is a Contractor healthcare provider located in RICHLAND, Washington. NPI 1093202053 is currently active in the NPPES registry. Verify at CMS.
Contractor · RICHLAND, WA
Registration Details
- NPI Number
- 1093202053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2018 (8.3301114299504 yrs)
- Last Updated
- Apr 16, 2018
- License
-
601942637 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3250 PORT OF BENTON BLVD STE DRICHLAND, WA, 993541670Browse WA providers · Browse ZIP 99354
- Phone
- 5093712570
- Fax
- 8668802576
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in RICHLAND, WA
| Name | Credential | NPI |
|---|---|---|
| PAJYEEBSUAB VANG | COTA | 1073970828 |
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.