Individual
DR. RALPH VALENTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 E BANNER GATEWAY DR, #200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5877
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220666-01
—
AZ
01
—
3Z3980
HEALTHNET
AZ
Enumeration date
06/08/2006
Last updated
10/18/2022
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