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GERALD LEE WILKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
C33124
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C-33198
MD
CA
Enumeration date
04/28/2006
Last updated
08/20/2015
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