Doctor Name: | RICHARD W WILSON |
NPI Number: | 1225093370 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28238 |
Business Practice Address: | 16611 S 40th St Suite 180 Phoenix, AZ - 850480566 |
Business Phone Number: | 4807852100 |
Business Fax Number: | 4807852111 |
Mailing Address: | 2545 W Frye Rd, Suite 9 CHANDLER |
State: | AZ |
Postal Code: | 852246273 |
Phone Number: | 4805054258 |
Fax Number: | 4802758346 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 12/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 28238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |