NPI 1033182118
Wanda Gayle Wilson, DO
Practice location
- Address
- 3559 Amazonas St, Jefferson City, MO 65109
- Phone
- (573) 893-7848
- Fax
- (573) 893-1984
- Mailing address
- 3559 Amazonas St Health Branch West, Jefferson City, MO 65109
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1033182118
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Feb 2006
- Record last updated
- 30 Jun 2009
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.