Individual
MONTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1006
NV
Other
Enumeration date
09/15/2006
Last updated
05/20/2009
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