Organization
PHYSICIAN ASSISTANT ON CALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN WILSON JR. PA C (MANAGING MEMBER)
(818) 917-5897
Entity
Organization
Contact information
Practice address
7300 MEDICAL CENTER DR, WEST HILLS, CA 91307-1902
(407) 328-0825
Mailing address
PO BOX 953908, LAKE MARY, FL 32795-3908
(407) 328-0825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
CA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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