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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Joplin
State
Missouri
Zip
64804-1884
Phone Number
417-208-0805
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Saint Johns Blvd
City
Joplin
State
Missouri
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
390200000X
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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