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

DR. DEIDRE A WILSON, D.O.

Active Sole Proprietor

DR. DEIDRE A WILSON, D.O. is a General Practice healthcare provider located in PHOENIX, Arizona. NPI 1760634471 is currently active in the NPPES registry. Verify at CMS.

General Practice · PHOENIX, AZ

Registration Details

NPI Number
1760634471
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2008 (17.863730102041 yrs)
Last Updated
Jun 8, 2023
License
4042 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8326 N 7TH ST
PHOENIX, AZ, 850203441
Browse AZ providers · Browse ZIP 85020
Phone
6023055100
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in PHOENIX, AZ

Name Credential NPI
DR. EDWARD TOGNACCI DO 1265410351
INA G. LIEBERMAN MD 1912970765
NORMAN DEAN GRAMSTAD DO 1730145053
MR. TREIS R LUM DO 1326096256
DUNGCHI NGUYEN DO 1457302556
DR. JOHN MELVIN BRACKEN DDS 1518989565
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.