Mr. Evan Jonathan Wilson, IDC
Mr. Evan Jonathan Wilson, IDC is an Independent Duty Corpsman in Yuma, Arizona. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
2989 E Arow StYuma, AZ 85365
Phone: (310) 408-7127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1003298571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2015 |
| Last updated in NPPES | September 16, 2015 |
| Mailing address | 1617 E Reilly St, Apt C, Yuma, AZ 85365-5659 |
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