Individual
BRANDON JAMES WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 725-1288
Mailing address
200 MERCY CIR, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
1221008
—
Other
Enumeration date
11/07/2022
Last updated
08/01/2024
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