Individual
CASEY EVAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-5000
Mailing address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(541) 944-1214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C199446
CA
207P00000X
Emergency Medicine Physician
MD186528
OR
Other
Enumeration date
03/24/2015
Last updated
11/22/2024
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