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NPI Verification

National Provider Identifier: 1720393937

Charles A. Wilson D.o., LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

91-2139 FORT WEAVER RD

SUITE 213

EWA BEACH, HI 967063607

Phone: 808-677-8008

NPI Enumeration Date

August 11, 2010

NPI Number

1720393937

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Charles A. Wilson D.o., LLC - NPI 1720393937 | Provider Verification | HormoneMap