| Doctor Name: | BARCLAY M WILSON |
| NPI Number: | 1477519817 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS002757L |
| Business Practice Address: | 130 S Front St Milton, PA - 178471113 |
| Business Phone Number: | 5707428511 |
| Business Fax Number: | 5707429134 |
| Mailing Address: | 130 S Front St, MILTON |
| State: | PA |
| Postal Code: | 178471113 |
| Phone Number: | 5707428511 |
| Fax Number: | 5707429134 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS002757L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |