BRIAN WILSON MD L.L.C.; NPI #1134315005

Contact Information

BRIAN WILSON MD L.L.C.

275 PONAHAWAI ST
SUITE 106
HILO, HI 96720-3074

Phone: 808-961-0022
Fax: 808-969-3852
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for BRIAN WILSON MD L.L.C.

NPI Number 1134315005

LBN Legal business name BRIAN WILSON MD L.L.C.

Authorized official BRIAN WILSON - (PEDIATRICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/24/2007

Last updated 09/24/2007 - About 19 years ago

Identifiers

HI	License #	4143
IA	Medicaid	04734301

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIAN WILSON MD L.L.C.

Contact Information

Specialty

Adolescent Medicine

NPI Profile & details for BRIAN WILSON MD L.L.C.

Reviews for BRIAN WILSON MD L.L.C.