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Gary L Wilson, DO
Diagnostic Radiology Physician in Wichita, Kansas
NPI 1174584551

Gary L Wilson is a Diagnostic Radiology Physician based in Wichita, KS and is specialized in Diagnostic Radiology. Gary L Wilson practices in Wichita, KS and has the professional credentials of DO. The NPI Number for Gary L Wilson is 1174584551 and holds a License No. G-1584 (Kansas).

The current practice location address for Gary L Wilson is 5500 E Kellogg Dr, Wichita, KS and can be reached out via phone at 970-250-2891.

Location: 5500 E Kellogg Dr, Wichita, KS, 67218-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174584551
Provider Name
Gary L Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5500 E Kellogg Dr, Wichita, KS, 67218-1607
Phone Number
970-250-2891
Fax Number
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100384790A 05 KS
institution
Provider Business Practice Location Address Details
Address
5500 E Kellogg Dr
City
Wichita
State
Kansas
Zip
67218-1607
Phone Number
970-250-2891
Fax Number
person
Provider Business Mailing Address Details
Address
5500 E Kellogg Dr
City
Wichita
State
Kansas
Zip
67218-1607
Phone Number
970-250-2891
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G-1584 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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