Organization
DAVID S WILGARDE M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S WILGARDE M.D. (PRESIDENT)
(760) 619-2309
Entity
Organization
Contact information
Practice address
3001 E TAHQUITZ CANYON WAY STE 108, PALM SPRINGS, CA 92262-6900
(760) 320-4292
(760) 322-9475
Mailing address
51753 EL DORADO DR, LA QUINTA, CA 92253-9034
(760) 619-2309
(866) 428-0708
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G74463
CA
208VP0014X
Interventional Pain Medicine Physician
G74463
CA
Other
Enumeration date
09/19/2016
Last updated
06/02/2024
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