PHILIP WILSON III, D.O.

Ophthalmology

Active Individual
NPI: 1962842476

Practice Address

1241 W STADIUM BLVD
Jefferson City, MO 65109

Phone: (573) 556-7709

Specialties

Specialty Code Primary License
Ophthalmology 207W00000X Yes 2017021706 (MO)

Frequently Asked Questions

NPI 1962842476 is the National Provider Identifier for PHILIP WILSON III, D.O., a Ophthalmology provider located in Jefferson City, MO. This NPI was enumerated on June 28, 2013.
PHILIP WILSON III, D.O. practices at 1241 W STADIUM BLVD, Jefferson City, MO 65109.

Quick Facts

NPI
1962842476
Type
Individual
Enumerated
Jun 28, 2013
Last Updated
Jul 21, 2022

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