Individual
MARK ANTHONY ANDREW WIMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 563-1997
Mailing address
1175 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 563-1997
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G75382
CA
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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