NPI 1548456312
Paul T Wilson, OD
Practice location
- Address
- 653 E Cottonwood Lane, Casa Grande, AZ 85122
- Phone
- (520) 836-9606
- Fax
- (520) 836-3964
- Mailing address
- 653 E Cottonwood Ln, Casa Grande, AZ 85122-2023
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1548456312
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Sep 2007
- Record last updated
- 2 Nov 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.