Dr. Amy Wilson, D.O.
Internal Medicine in Fort Smith, AR. Individual provider (NPI-1).
NPI number1154776409
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1154776409
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Wilson
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2016
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 6276 | OK | Yes |
| 207R00000X | Internal Medicine | E-12276 | AR | |
| 208M00000X | Hospitalist | E-12276 | AR | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7301 Rogers AveFort Smith, AR 72903-4100
Phone 479-314-5175
Mailing address
104 Wall StPoteau, OK 74953-4405
Phone 918-647-8635 · Fax 918-635-3191
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