Individual
CARL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11596
AZ
363A00000X
Physician Assistant
PA1960
NV
363A00000X
Physician Assistant
—
NV
363AM0700X
Medical Physician Assistant
Primary
PA60875426
WA
Other
Enumeration date
03/09/2018
Last updated
04/08/2026
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