Organization
CATHERINE J. WILSON, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE J WILSON DPM (SOLE OWNER)
(702) 326-2077
Entity
Organization
Contact information
Practice address
2660 CRIMSON CANYON DR, SUITE 130, LAS VEGAS, NV 89128-0845
(702) 453-3799
(702) 453-5741
Mailing address
2660 CRIMSON CANYON DR, SUITE 130, LAS VEGAS, NV 89128-0845
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0306
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316154883
—
NV
Enumeration date
05/16/2007
Last updated
07/09/2015
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