Organization
WILLIAM L. WILSON, M.D., INC.
Active
Organization
WILLIAM L. WILSON, M.D., INC.
Active
Other names
California Pain and Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CHARLES BROWNLOW MD (MD/OWNER)
(770) 252-7557
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG. 3, STE. 540, LA MESA, CA 91942-3020
(619) 460-2700
(619) 460-2702
Mailing address
5565 GROSSMONT CENTER DR, BLDG. 3, STE. 540, LA MESA, CA 91942-3020
(619) 460-2700
(619) 460-2702
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G44872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G448720
—
CA
05
—
00G448721
—
CA
Enumeration date
04/04/2006
Last updated
02/26/2021
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