Individual
TARA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 105, RIVERSIDE, CA 92505-3071
(951) 278-8870
(951) 278-8913
Mailing address
P.O. BOX 2828, CORONA, CA 92878-2828
(951) 278-8870
(951) 278-8913
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A80520
CA
Other
Enumeration date
10/04/2006
Last updated
12/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us