Mark Wilson in Gallup - Ambulatory Care

Mark Wilson - NPI 1902091937

Mark Wilson is a Ambulatory Care in Gallup, New Mexico. Mark Wilson practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Mark Wilson is 1902091937. The last update date is 2007-09-12.

Mark Wilson's current location address is 516 Nizhoni Blvd, Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057221310. The mailing address for Mark Wilson is 516 Nizhoni Blvd, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Wilson
Address 516 Nizhoni Blvd, Gallup, New Mexico
Phone Number 5057221000
Fax Number 5057221310
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1902091937
Provider Enumeration Date 2007-09-12
Last Updated Date 2007-09-12

Provider Mailing Address Detail

Address 516 Nizhoni Blvd
City Gallup
State New Mexico (NM)
Post Code 873015748
Phone Number 5057221000
Fax Number 5057221310

Provider's Primary Taxonomy Detail

Speciality Ambulatory Care
Taxonomy 163Wp2201X
Licence No R41887
Definition:
A registered nurse who provides care in outpatient settings.

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FAQs about Mark Wilson

What is the unique identifier code issued to Mark Wilson by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Wilson has been assigned the NPI (National Provider Identifier) 1902091937. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Mark Wilson is physically located?

The Mark Wilson is physically situated at the following address: 516 Nizhoni Blvd, Gallup, NM, 873015748.

What is Mark Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark Wilson is Ambulatory Care, and the corresponding taxonomy classification code for this specialized field is 163Wp2201X.

On what date did Mark Wilson receive its 1902091937 assignment from the Centers for Medicare & Medicaid Services?

The Mark Wilson was assigned its 1902091937 on 2007-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mark Wilson most recently updated or revised?

The details related to Mark Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-12.

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