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DR. SEAN PATRICK WILSON M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184615650

Individual Registrant:
DR. SEAN PATRICK WILSON M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
606 N MAIN ST  EAGAR, AZ 85925-9813 US
Tel: 928-333-5333  Fax: 928-333-5100

Contact information for business:
PO BOX 878  SPRINGERVILLE, AZ 85938-0878 US
Tel: 928-333-5333  Fax: 928-333-5100

Registration Information:
NPI: 1184615650
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ32794

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
880808AZ05




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