IndividualActive
Benjamin Wilson, M.D.
NPI 1417247644 · Family Medicine Physician · Nevada, MO
Provider details
- NPI number
- 1417247644
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015010966 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
800 S Ash St
Nevada, MO 64772-3223
Phone: (417) 667-3355
Approximate (ZIP-level) locationGet directions
Mailing address
627 S Ash St
Nevada, MO 64772-3218
Registry dates
- Enumerated
- 2011-04-08
- Last updated
- 2016-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.