NPI 1578538575

Matthew Baker Wilson, MD

Practitioner Diagnostic Radiology Physician Mountain Home, AR

Practice location

Address: 624 Hospital Dr, Mountain Home, AR 72653-2955
Phone: (870) 425-6322
Fax: (870) 424-5859
Mailing address: PO Box 2008, Mountain Home, AR 72654-2008

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence N-8297 (AR)

Other Radiology providers in Arkansas →

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence N-8297 (AR)

Registry record

NPI: 1578538575
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2006
Record last updated: 18 Aug 2010

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.