Individual
DR. CARLOS J. WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7663 W SUMMER SCENE DR, TUCSON, AZ 85743-5184
(610) 529-1214
Mailing address
7663 W SUMMER SCENE DR, TUCSON, AZ 85743-5184
(610) 529-1214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58022
AZ
207L00000X
Anesthesiology Physician
MD041502E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001247110
—
PA
05
—
5029201
—
NJ
Enumeration date
07/13/2006
Last updated
02/14/2019
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