# JOSEPH W. WILSON, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033405006
- **Authorized official:** MRS. SARAH RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (760) 568-4330

## Contact information

- **Practice address:** 39000 BOB HOPE DR, SUITE K108, RANCHO MIRAGE, CA 92270-3221
- **Practice address phone:** (760) 568-4330
- **Mailing address:** 39000 BOB HOPE DR, K108, RANCHO MIRAGE, CA 92270-3221
- **Mailing address phone:** (760) 568-4330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A50443 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 09/07/2011