Individual
DARYL JAMES WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4950 BONHAM DR, LINDEN, CA 95236-9491
(209) 887-3891
(209) 887-2517
Mailing address
PO BOX 1424, LINDEN, CA 95236-1424
(209) 887-3891
(209) 887-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A 6047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX60470
—
CA
Enumeration date
05/22/2007
Last updated
07/08/2007
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