Thomas A Wilson in San Luis Obispo - Pediatric Endocrinology
Thomas A Wilson - NPI 1063454080
Thomas A Wilson is a Pediatric Endocrinology in San Luis Obispo, California. Thomas A Wilson practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Thomas A Wilson is 1063454080. The last update date is 2020-05-19.
Thomas A Wilson's current location address is 1010 Murray Ave, San Luis Obispo, California. You can contact this provider via phone number 8055467692 and fax number 8055467932. The mailing address for Thomas A Wilson is 1010 Murray Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas A Wilson |
|---|---|
| Address | 1010 Murray Ave, San Luis Obispo, California |
| Phone Number | 8055467692 |
| Fax Number | 8055467932 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063454080 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 1010 Murray Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934051806 |
| Phone Number | 8055467692 |
| Fax Number | 8055467932 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 151531 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 725544 | NY | -- | |
| 4249553 | NY | AETNA | |
| 79A002 | NY | EMPIRE BC.BS |
Post Comment/ Review Below
What is the Thomas A Wilson's 1063454080?
The Thomas A Wilson's NPI (National Provider Identifier) Number is 1063454080. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thomas A Wilson is physically located?
The Thomas A Wilson is physically situated at the following address: 1010 Murray Ave, San Luis Obispo, CA, 934051806.
What is Thomas A Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas A Wilson's specialized field of practice is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0205X.
On what date did the Thomas A Wilson receive the assignment of its 1063454080 from the Centers for Medicare & Medicaid Services?
The Thomas A Wilson was issued its 1063454080 by the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the details related to Thomas A Wilson most recently updated or revised?
The information pertaining to Thomas A Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-19.