Individual
DR. BRETT WILSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W PUEBLO ST, SANTA BARBARA, CA 93105-4311
(805) 682-7111
(805) 569-8368
Mailing address
PO BOX 10040, WESTMINSTER, CA 92685-0040
(562) 809-3528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A97199
CA
207P00000X
Emergency Medicine Physician
MD.026108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A971990
—
CA
Enumeration date
07/17/2006
Last updated
04/01/2010
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