Individual
XUONG WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 WEST SEED FARM ROAD, SACATON, AZ 85147
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34158
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031813
MEDICARE
AZ
01
—
031814
MEDICARE
AZ
01
—
031815
MEDICARE
AZ
01
—
031820
MEDICARE
AZ
Enumeration date
07/08/2005
Last updated
10/12/2016
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