NPI 1457732000

William Wilson MD PC

Organisation Surgery of the Hand (Plastic Surgery) Physician Idaho Falls, ID

Practice location

Address: 2860 Channing Way STE 112, Idaho Falls, ID 83404-7532
Phone: (208) 524-4381
Fax: (208) 523-6477

Authorised official

Name: William P Wilson
Title: Owner
Phone: (208) 524-4381

Registered specialties

Surgery of the Hand (Plastic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence M 5527 (ID)

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1457732000
Entity type: Organization
NPI issued: 9 Jun 2015
Record last updated: 15 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.