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NPI Profile for Dr WILLIAM J WILSON in APPLE VALLEY, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1265469712 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 06/27/2006 | |
| Last updated | 08/07/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WILLIAM J WILSON
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WILLIAM J WILSON, PA-C