Individual
WESLEY GARTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20201 N SCOTTSDALE HEALTHCARE DR, SUITE120, SCOTTSDALE, AZ 85255-4134
(480) 513-9111
Mailing address
10540 E CORTEZ DR, SCOTTSDALE, AZ 85259-2939
(480) 216-6887
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
21680
AZ
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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