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Individual

DR. SAMUEL ERIC WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 THE CITY DR S, SUITE 810 CITY TOWER, ORANGE, CA 92868-3201
(714) 456-7246
(714) 456-8205
Mailing address
1436 VIA CASTILLA, PALOS VERDES ESTATES, CA 90274-2800
(714) 456-7246
(714) 456-8205

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C28352
CA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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