MR. SHANE WILSON

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1669952966

Practice Address

1522 S TYLER ST
Little Rock, AR 72204

Phone: (501) 515-0828

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes -

Frequently Asked Questions

NPI 1669952966 is the National Provider Identifier for MR. SHANE WILSON, a Non-emergency Medical Transport (VAN) provider located in Little Rock, AR. This NPI was enumerated on August 16, 2018.
MR. SHANE WILSON practices at 1522 S TYLER ST, Little Rock, AR 72204.

Quick Facts

NPI
1669952966
Type
Individual
Enumerated
Aug 16, 2018
Last Updated
Aug 16, 2018

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