Organization
THE PHYSICIANS MEDICAL TRIALS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL JOSEPH WILSON M.D. (PRINCIPLE PARTNER)
(619) 656-5444
Entity
Organization
Contact information
Practice address
1881 MEEKS BAY DR, CHULA VISTA, CA 91913-1651
(619) 656-5444
(619) 656-5444
Mailing address
1881 MEEKS BAY DR, CHULA VISTA, CA 91913-1651
(619) 656-5444
(619) 656-5444
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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