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Dr. John David Wilson, MD
Family Medicine Physician in Grants Pass, Oregon
NPI 1104071224

John David Wilson is a Family Medicine Physician based in Grants Pass, OR. John David Wilson practices in Grants Pass, OR and has the professional credentials of MD. The NPI Number for John David Wilson is 1104071224 and holds a License No. MD37095 (Oregon).

The current practice location address for John David Wilson is 495 Sw Ramsey Ave, Grants Pass, OR and can be reached out via phone at 541-476-6644.

Location: 495 Sw Ramsey Ave, Grants Pass, OR, 97527-5681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104071224
Provider Name
John David Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
495 Sw Ramsey Ave, Grants Pass, OR, 97527-5681
Phone Number
541-476-6644
Fax Number
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500622415 05 OR
institution
Provider Business Practice Location Address Details
Address
495 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5681
Phone Number
541-476-6644
Fax Number
person
Provider Business Mailing Address Details
Address
495 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5681
Phone Number
541-476-6644
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
150495 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
MD37095 (Tennessee)
Definition
Definition to come.
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