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Organization

ROBERT L WILSON M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L WILSON M.D. (CEO/ PRESIDENT)
(213) 484-1271
Entity
Organization

Contact information

Practice address
2815 W SUNSET BLVD, 205, LOS ANGELES, CA 90026-2167
(213) 484-1271
(213) 484-1217
Mailing address
2815 W SUNSET BLVD, 205, LOS ANGELES, CA 90026-2167
(213) 484-1271
(213) 484-1217

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A23286
CA

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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