Individual
DR. PETER BARTHOLOMEW WILE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 4TH AVE, SUITE 700, SAN DIEGO, CA 92103-2116
(619) 299-8500
(619) 297-1443
Mailing address
4060 4TH AVE, SUITE 700, SAN DIEGO, CA 92103-2116
(619) 299-8500
(619) 297-1443
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G44721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G447210
—
CA
Enumeration date
03/29/2006
Last updated
07/08/2007
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