Organization
MARK D WILSON, MD INC
Active
Other names
Mark D Wilson, MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DANIEL WILSON MD (PRESIDENT)
(805) 637-1120
Entity
Organization
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 682-7111
Mailing address
780 LA BUENA TIERRA, SANTA BARBARA, CA 93111-1705
(805) 637-1120
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A76869
CA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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