Individual
DARRELL MEALER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G38484
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
G38484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G384840
—
CA
Enumeration date
12/15/2005
Last updated
04/10/2024
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