Individual
DR. BRAD A WOLFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E TACHEVAH DR, STE 2W-101, PALM SPRINGS, CA 92262-5750
(760) 320-6005
(760) 323-5786
Mailing address
555 E TACHEVAH DR, STE 2W-101, PALM SPRINGS, CA 92262-5748
(760) 320-6005
(760) 323-5786
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G61080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G610801
—
CA
01
—
G61080
CA LICENSE
CA
Enumeration date
04/28/2006
Last updated
02/15/2012
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