Organization
BARRY K WILSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY K WILSON MD (OWNER)
(209) 951-1178
Entity
Organization
Contact information
Practice address
1801 E MARCH LN, SUITE 360, STOCKTON, CA 95210-6629
(209) 951-1178
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
09/04/2014
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