| Doctor Name: | ALAN D WILSON |
| NPI Number: | 1003842816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 32735 |
| Business Practice Address: | 269 S Candy Ln Cottonwood, AZ - 863264158 |
| Business Phone Number: | 9286396581 |
| Business Fax Number: | |
| Mailing Address: | Po Box 7207, LOVELAND |
| State: | CO |
| Postal Code: | 805370207 |
| Phone Number: | 9706632742 |
| Fax Number: | 9706670847 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 32735 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |