Individual
WILSON TALMAGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10238 E HAMPTON AVE STE 506, MESA, AZ 85209-3321
(480) 834-7546
(480) 833-8313
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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