Individual
DAVID P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11219 N HIGHWAY 3, FORT JONES, CA 96032-9731
(530) 468-5766
(530) 842-9054
Mailing address
PO BOX 458, FORT JONES, CA 96032-0458
(530) 468-5766
(530) 842-9054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G37216
CA
207R00000X
Internal Medicine Physician
Primary
G37216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G372162
—
CA
05
—
00G72161
—
CA
01
—
G37216
MEDICAL LICENSE
CA
Enumeration date
06/14/2005
Last updated
01/20/2012
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