Individual
MATTHEW ZACHARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 WALTER ST NE, STE 309, ALBUQUERQUE, NM 87102-2534
(505) 727-8039
(505) 727-8086
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2009-0014
NM
Other
Enumeration date
08/13/2009
Last updated
09/30/2024
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