Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
4121 OLD COLLINSVILLE RD
SWANSEA, IL 62226-2441 US
PECOS Enrolled

Randall Eugene Wilson

General Dentist


Randall Eugene Wilson

Overview

Randall Eugene Wilson is a General Dentist in the SWANSEA area. Randall Eugene Wilson primary office location is at 4121 OLD COLLINSVILLE RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164540365 and the information was updated approximately 18 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4121 OLD COLLINSVILLE RD
SWANSEA, IL 62226-2441 US
Phone: (618)-236-0501
Fax:
Practice Mailing Information
4121 OLD COLLINSVILLE RD
SWANSEA, IL 62226-2441 US
Phone: (618)-236-0501
Fax: (618)-222-2997
License NumberState
-IL