Individual
WILLIAM PATRICK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0621
(505) 925-2487
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1801
AL
363A00000X
Physician Assistant
Primary
PA2021-0097
NM
Other
Enumeration date
11/01/2021
Last updated
12/19/2024
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