# MARK D WILSON, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark D Wilson, MD Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710470703
- **Authorized official:** DR. MARK DANIEL WILSON MD (PRESIDENT)
- **Authorized official phone:** (805) 637-1120

## Contact information

- **Practice address:** 400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
- **Practice address phone:** (805) 682-7111
- **Mailing address:** 780 LA BUENA TIERRA, SANTA BARBARA, CA 93111-1705
- **Mailing address phone:** (805) 637-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A76869 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2018
- **Last updated:** 06/13/2018