Edith Diane Wilson is a Urology in Olympia, Washington. Edith Diane Wilson practices all healthcare services and medical treatments related to Urology. The NPI Number for Edith Diane Wilson is 1972602969. The last update date is 2011-08-29.
Edith Diane Wilson's current location address is 615 Lilly Rd Ne Ste 175, Olympia, Washington. You can contact this provider via phone number 3604866772 and fax number 3604866775. The mailing address for Edith Diane Wilson is 615 Lilly Rd Ne Ste 175, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith Diane Wilson |
|---|---|
| Address | 615 Lilly Rd Ne Ste 175, Olympia, Washington |
| Phone Number | 3604866772 |
| Fax Number | 3604866775 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972602969 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2011-08-29 |
Provider Mailing Address Detail
| Address | 615 Lilly Rd Ne Ste 175 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065179 |
| Phone Number | 3604866772 |
| Fax Number | 3604866775 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 5500A |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110601500 | WY | -- | |
| W9209 | CLINIC MCAR # |
Post Comment/ Review Below
What is the Edith Diane Wilson's unique identification number?
The Edith Diane Wilson has been assigned the NPI (National Provider Identifier) Number 1972602969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Edith Diane Wilson located?
The Edith Diane Wilson is located at 615 Lilly Rd Ne Ste 175, Olympia, WA 985065179.
What is Edith Diane Wilson's area of expertise and its corresponding taxonomy classification?
The Edith Diane Wilson's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did Edith Diane Wilson receive its 1972602969 assignment from the Centers for Medicare & Medicaid Services?
The Edith Diane Wilson was assigned its 1972602969 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Edith Diane Wilson most recently updated or revised?
The information pertaining to Edith Diane Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-29.
NPI Number: 1013917590
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