Individual
CARLA S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1001 WOODWARD PLACE NE, TRICORE REFERENCE LABORATORIES, ALBUQUERQUE, NM 87102-0001
(505) 938-8465
(505) 938-8414
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC08 4640, ALBUQUERQUE, NM 87131-0001
(505) 938-8465
(505) 938-8414
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
93-182
NM
Other
Enumeration date
08/02/2006
Last updated
01/04/2024
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