Individual
MATTHEW WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNM DEPARTMENT OF EMERGENCY MEDICINE MSC11-6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 925-7290
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
242863
NY
207P00000X
Emergency Medicine Physician
25397
AZ
207P00000X
Emergency Medicine Physician
Primary
MD2012-0390
NM
Other
Enumeration date
08/18/2006
Last updated
10/30/2024
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