Individual
KEITH GARNETT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701
(559) 499-6440
(559) 499-6441
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6440
(559) 499-6441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A132622
CA
Other
Enumeration date
05/03/2013
Last updated
07/16/2018
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