Individual
DR. DAVID STEPHEN WILGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 E TAHQUITZ CANYON WAY STE 108, PALM SPRINGS, CA 92262-6900
(760) 320-4292
(760) 322-9475
Mailing address
148 W CAMINO ENCANTO, PALM SPRINGS, CA 92264-8910
(760) 969-5200
(760) 969-5201
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
G74463
CA
225400000X
Rehabilitation Practitioner
G744630
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G744632
—
CA
Enumeration date
07/26/2005
Last updated
06/02/2024
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