Doctor Name: | DR. RICHARD L WILSON |
NPI Number: | 1053385922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101058886 |
Business Practice Address: | 3706 S Main St Suite A Blacksburg, VA - 240607006 |
Business Phone Number: | 5409519000 |
Business Fax Number: | 5409517799 |
Mailing Address: | Po Box 886, BLACKSBURG |
State: | VA |
Postal Code: | 240630886 |
Phone Number: | 5409519000 |
Fax Number: | 5409517799 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | 0101058886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |