Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
640 N EISENHOWER ST
MOSCOW, ID 83843-9588 US

Annetta Wilson

Specialist


Annetta Wilson

Overview

Annetta Wilson is a Specialist in the MOSCOW area. Annetta Wilson primary office location is at 640 N EISENHOWER ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1891025482 and the information was updated approximately 15 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
640 N EISENHOWER ST
MOSCOW, ID 83843-9588 US
Phone: (208)-882-6560
Fax:
Practice Mailing Information
640 N EISENHOWER ST
MOSCOW, ID 83843-9588 US
Phone: (208)-882-6560
Fax: (208)-882-6569
License NumberState
PT-00000493ID
PT-80WA

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