NPI 1003442690

Tina Wilson, DO

Practitioner General Practice Physician Tripler Army Medical Center, HI

Practice location

Address: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
Phone: (210) 220-7961

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence DOS-2339 (HI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003442690
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2020
Record last updated: 4 Oct 2022

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.