Deidre A. Wilson, D.O.

General Practice Physician · Phoenix, AZ

Individual Active NPI

NPI number 1760634471

Practice location

8326 N 7TH St
Phoenix, AZ 85020-3441
Phone
(602) 305-5100

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NPI record

NPI
1760634471
Entity type
Individual (Type 1)
Enumeration date
October 14, 2008
Last updated
June 8, 2023
Certified
June 8, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 4042 AZ

Mailing address

1180 Newfield Ave
Stamford, CT 06905-1409
Phone
(314) 888-5233

Other practice locations (1)

  • 103 E Indiana Ave # B, Spokane, WA 99207-2317 · (509) 444-9035

About Dr. Wilson

Deidre A. Wilson, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 8326 N 7TH St, Phoenix, AZ 85020-3441. The NPI number 1760634471 was assigned on October 14, 2008 and the record was last updated on June 8, 2023.

Dr. Wilson lists a license in the registry: #4042 (AZ) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deidre A. Wilson, D.O.?

The NPI number is 1760634471.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (602) 305-5100.

Where is Dr. Wilson located?

8326 N 7TH St, Phoenix, AZ 85020-3441.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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