Individual
DR. NEVIN W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3006 S MARYLAND PKWY, SUITE 315, LAS VEGAS, NV 89109-2218
(702) 992-6868
(702) 992-6860
Mailing address
1701 W CHARLESTON BLVD, SUITE 215, LAS VEGAS, NV 89102-2325
(702) 671-2355
(702) 382-5388
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12229
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107913000
—
WV
Enumeration date
10/19/2006
Last updated
07/28/2014
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