Individual
AARON WICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3632 TULAGI ROAD, CORONADO, CA 92118
(619) 545-7413
Mailing address
34800 BOB WILSON DR # DT, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
010278960
VA
Other
Enumeration date
03/28/2022
Last updated
07/01/2026
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