NPI 1689788655

Thomas J Wilson, MD

Practitioner Diagnostic Radiology Physician Jackson, WY

Practice location

Address: 625 East Broadway St Johns Medical Center Dept of Radiology, Jackson, WY 83001
Phone: (800) 633-1905
Fax: (913) 491-0411
Mailing address: PO Box 9230, Jackson, WY 83002-9230

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 5596A (WY)

Other Radiology providers in Wyoming →

Registry record

NPI: 1689788655
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 7 Mar 2023

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.