Individual
VERNON RAPHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3445 PACIFIC COAST HWY, SUITE 220, TORRANCE, CA 90505-6658
(310) 937-9200
(310) 937-9522
Mailing address
3445 PACIFIC COAST HWY, SUITE 220, TORRANCE, CA 90505-6658
(310) 937-9200
(310) 937-9522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G62587
CA
Other
Enumeration date
04/25/2006
Last updated
07/01/2008
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