Individual
DR. CONNOR L WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 PIONEER LN, BISHOP, CA 93514-2563
(760) 872-1606
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A174969
CA
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006980
CO
Other
Enumeration date
04/03/2018
Last updated
07/26/2023
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