NPI 1447368758

William P.D. Wilson, MD

Practitioner Plastic Surgery Physician Idaho Falls, ID

Practice location

Address: 2860 Channing Way Suite 112, Idaho Falls, ID 83404-7531
Phone: (208) 524-4381
Fax: (208) 523-6477

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M-5527 (ID)

Other Plastic Surgery providers in Idaho →

Surgery of the Hand (Plastic Surgery) Physician

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

Registry record

NPI: 1447368758
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2006
Record last updated: 20 Feb 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.