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Contact Information

WILLIAM P WILSON III, MD
2860 CHANNING WAY
SUITE 112
IDAHO FALLS, ID83404-7531
 Phone: 208-524-4381
 Fax: 208-523-6477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM P WILSON III · (Male)

NPI Number 1447368758
Status Active
Credentials MD
Entity Individual
Enumeration date 08/27/2006
Last updated 02/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M-5527
Hospital affiliation(s)
  • EASTERN IDAHO REGIONAL MEDICAL CENTER - (Acute Care)
    3100 CHANNING WAY
    IDAHO FALLS, ID 83404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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