Individual
DR. BRIAN SCOTT WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FAMILY MEDICINE, 8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
(505) 462-6400
(505) 462-6506
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQEURQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125076778
IL
207Q00000X
Family Medicine Physician
Primary
MD2023-0578
NM
Other
Enumeration date
06/09/2020
Last updated
07/03/2023
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