Individual
JOSEPH W WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, K-108, RANCHO MIRAGE, CA 92270
(760) 568-4330
Mailing address
39000 BOB HOPE DR, K-108, RANCHO MIRAGE, CA 92270
(760) 568-4330
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A50443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A50443
—
CA
Enumeration date
09/20/2006
Last updated
04/19/2016
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