NPI 1316245764

Anthony Bradford Wilson

Practitioner Independent Duty Medical Technicians Glendale, AZ

Practice location

Address: 7219 N Litchfield Rd, Glendale, AZ 85309-1529
Phone: (623) 856-2793
Mailing address: 16654 N 178th Ave, Surprise, AZ 85388-1798

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Arizona →

Registry record

NPI: 1316245764
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2011
Record last updated: 9 Mar 2011

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.