NPI 1104579531

Jeffrey Todd Wilson

Practitioner Surgical Technologist Olympia, WA

Practice location

Address: 7943 Hargis St NW, Olympia, WA 98502-9645
Phone: (360) 480-1410

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 00002628 (WA)

Other Specialist/Technologist, Other providers in Washington →

Registry record

NPI: 1104579531
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2022
Record last updated: 26 Jan 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.