Individual
DR. DANNY LEE WILKERSON
Active
Individual
DR. DANNY LEE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C-6483
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16508000000
QUALCHOICE
AR
01
—
55682
BCBS
AR
01
—
C6483
TRICARE
AR
01
—
P00020612
RAILROAD MEDICARE
AR
Enumeration date
07/31/2006
Last updated
07/08/2007
Update your record
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