person
Stephen Wade Wilson
Student in an Organized Health Care Education/Training Program in Joplin, Missouri
NPI 1407639479

Stephen Wade Wilson is a Student in an Organized Health Care Education/Training Program based in Joplin, MO. Stephen Wade Wilson practices in Joplin, MO. The NPI Number for Stephen Wade Wilson is 1407639479 and holds a License No. (Missouri).

The current practice location address for Stephen Wade Wilson is 3001 Saint Johns Blvd, Joplin, MO and can be reached out via phone at 417-208-0805.

Location: 3001 Saint Johns Blvd, Joplin, MO, 64804-1884
person
Provider Profile Details
NPI Number
1407639479
Provider Name
Stephen Wade Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3001 Saint Johns Blvd, Joplin, MO, 64804-1884
Phone Number
417-208-0805
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3001 Saint Johns Blvd
City
State
Zip
64804-1884
Phone Number
417-208-0805
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Saint Johns Blvd
City
State
Zip
64804-1884
Phone Number
417-208-0805
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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