BONITA WESLEY WILSON M. D.
Allergy and Immunology
Fredericksburg, Virginia
Provider NPI: 1891785127
Provider Information:BONITA WESLEY WILSON M. D.
Practice Location:
511 PARK HILL DR FREDERICKSBURG, VA 22401 US
Tel: 540-371-5660 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | VA | 0101038231 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| VA PREMIER | 010061 | VA | 01 |
| BLUE CROSS | 102827 | VA | 01 |
| AETNA | 3389897 | VA | 01 |
| CAREFIRST | J063-0002 | VA | 01 |
| CIGNA | D17963 | VA | 01 |
| UNITED HEALTHCARE | 02-00285 | VA | 01 |
| VA HEALTH NETWORK | 561249571 | VA | 01 |
| MEDICARE PTAN | 002784A38 | VA | 01 |
| AETNA | 4053750 | VA | 01 |
| 010026610 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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