KEITH ALAN WILSON

VICTORVILLE, CA
NPI1841470507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  pa18722)
Enumeration Date2007-11-11
Last Update Date2019-03-27
Business Address
KEITH ALAN WILSON P.A.
12550 HESPERIA ROAD SUITE100
VICTORVILLE, CA 92395-0000
Phone number: 760-241-6666
Mailing Address
KEITH ALAN WILSON P.A.
12143 NAVAJO RD
APPLE VALLEY, CA 92308-7250
Phone number: 760-240-1144