Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM P.D. WILSON III, M.D.
Active Sole ProprietorDR. WILLIAM P.D. WILSON III, M.D. is a Plastic Surgery healthcare provider located in IDAHO FALLS, Idaho. NPI 1447368758 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1447368758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2006 (19.820588047561 yrs)
- Last Updated
- Feb 20, 2015
- Licenses
-
M-5527 (ID)M-5527 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2860 CHANNING WAYSUITE 112IDAHO FALLS, ID, 834047531Browse ID providers · Browse ZIP 83404
- Phone
- 2085244381
- Fax
- 2085236477
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Surgery of the Hand (Plastic)
Other Plastic Surgery Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JHADE WOODALL | MD | 1053606236 |
| NICHOLAS BRADFORD JOHNSON | MD | 1578850210 |
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.