Individual
ALEX CHRISTOPHER WILKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(402) 321-7754
Mailing address
807 S COWLEY ST APT 27, SPOKANE, WA 99202-1278
(402) 321-7754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001378
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2019
Last updated
11/24/2020
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