| NPI | 1710470703 |
|---|---|
| Other Name | MARK D WILSON, MD INC |
| Entity Type | Organization |
| Authorized Contact | MARK DANIEL WILSON President 805-637-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA a76869) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |