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

RICHARD BOULWARE WILSON, MD

Active

General Surgery · PANAMA CITY, FL

Registration Details

NPI Number
1356331821
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2005 (20.548522293661 yrs)
Last Updated
Dec 29, 2020
License
ME76205 (FL)

Practice Information

Address
2407 RUTH HENTZ AVE
PANAMA CITY, FL, 324052259
Browse FL providers · Browse ZIP 32405
Phone
8505225022
Fax
8503870807
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in PANAMA CITY, FL

Name Credential NPI
GEORGE T EDWARDS MD 1245235027
DR. TED RICHARD WILSON M.D. 1588659262
DR. REBECCA SUZANNE HYSONG M.D. 1144219569
GEORGE ERWIN REISS M.D. 1013907583
DR. JOHN J RICHARDS M.D. 1164403473
MICHAEL WAYNE TAYLOR M.D. 1326023920
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.