Walter Wray Wilson in Hayden Lake - Family Medicine

Walter Wray Wilson - NPI 1639334048

Walter Wray Wilson is a Family Medicine in Hayden Lake, Idaho. Walter Wray Wilson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Walter Wray Wilson is 1639334048. The last update date is 2008-07-24.

Walter Wray Wilson's current location address is 10221 Gibson Rd, Hayden Lake, Idaho. You can contact this provider via phone number 2087721912. The mailing address for Walter Wray Wilson is 10221 Gibson Rd, Hayden Lake, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter Wray Wilson
Address 10221 Gibson Rd, Hayden Lake, Idaho
Phone Number 2087721912
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639334048
Provider Enumeration Date 2008-07-24
Last Updated Date 2008-07-24

Provider Mailing Address Detail

Address 10221 Gibson Rd
City Hayden Lake
State Idaho (ID)
Post Code 838359567
Phone Number 2087721912
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M2288
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Walter Wray Wilson

What is the Walter Wray Wilson's unique identification number?

The Walter Wray Wilson has been assigned the NPI (National Provider Identifier) Number 1639334048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Walter Wray Wilson is geographically located?

The Walter Wray Wilson is physically situated at the following location: 10221 Gibson Rd, Hayden Lake, ID, 838359567.

What is Walter Wray Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Walter Wray Wilson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639334048 to Walter Wray Wilson?

The Walter Wray Wilson received its 1639334048 assignment from the Centers for Medicare & Medicaid Services on 2008-07-24.

As of what date were the details related to Walter Wray Wilson most recently updated or revised?

The information pertaining to Walter Wray Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-24.

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