Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT LEE WILSON, PA
ActiveBRETT LEE WILSON, PA is a Surgical Physician Assistant healthcare provider located in LIBERTY, Missouri. NPI 1194726307 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LIBERTY, MO
Registration Details
- NPI Number
- 1194726307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (21.026746991818 yrs)
- Last Updated
- Jun 19, 2019
- Licenses
-
15-00245 (KS)2009014905 (MO)
Practice Information
- Address
-
2521 GLENN HENDREN DR STE 204LIBERTY, MO, 640683388Browse MO providers · Browse ZIP 64068
- Phone
- 8167816066
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LIBERTY, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LEIGH ANN JOHNSON | PA-C | 1891806568 |
| LIA MARIE GAUSE | PA-C | 1275988347 |
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.