Most Relevant Information
Provider Data
| NPI Number: | 1003442690 |
| Provider Name: | TINA WILSON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2020 |
| Last Updated: | 10/04/2022 |
Provider Practice Location
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER
HI
968595001
Practice Location Phone/Fax
| Phone: | 2102207961 |
| Fax: |
Provider Mailing Location
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER
HI
968595001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |