Dr. Adam Spach Wilson, M.D.
Otolaryngology in Vancouver, WA. Individual provider (NPI-1).
NPI number1790745933
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790745933
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Spach Wilson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | MD00034230 | WA | Yes |
Practice location
1405 Se 164th Ave Ste 102Vancouver, WA 98683-9644
Phone 360-256-4425 · Fax 360-254-1844
Mailing address
1405 Se 164th Ave Ste 102Vancouver, WA 98683-9644
Phone 360-256-4425 · Fax 360-254-1844
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