LOCKE WILSON

HEALDSBURG, CA
NPI1649207481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G62500)
Enumeration Date2006-06-27
Last Update Date2018-06-14
Business Address
LOCKE WILSON MD
430 TEE DR
HEALDSBURG, CA 95448
Phone number: 707-484-6316
Mailing Address
LOCKE WILSON MD
430 TEE DR
HEALDSBURG, CA 95448-5101
Phone number: 707-484-6316