-- JDEE RYAN WILSON -- MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1598828816- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 700 E ALICE ST STATE HOSPITAL SOUTH, BLACKFOOT, ID, 83221
- Phone
- (208) 785-1200
- Fax
- (208) 785-8516
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: ID #M9137