Dr. Richard L Wilson JR.
Pain Medicine
3706 S Main St Suite A
Blacksburg
, Virginia 24060-7006
Dr. Richard L Wilson JR.
Pain Medicine
3706 S Main St Suite A
Blacksburg
, Virginia 24060-7006
(540) 951-7799
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Richard L Wilson JR.
- Po Box 886
- Blacksburg, VA
- Zip : 24063-0886
- Fax : (540) 951-7799
- Phone : (540) 951-9000
Second Address
- Dr. Richard L Wilson JR.
- 3706 S Main St Suite A
- Blacksburg, VA
- Zip : 24060-7006
- Fax : (540) 951-7799
- Phone : (540) 951-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 0101058886 | VA |
National Provider Identifier
| NPI | 1053385922 |
|---|---|
| Provider Name | Dr. Richard L Wilson JR. |
| First Address | Blacksburg, VA 24063-0886 |
| Second Address | Blacksburg, VA 24060-7006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 146535 | ANTHEM (01) | VA |
| G47557 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.