James Craig Wilson in Modesto - Diagnostic Radiology

James Craig Wilson - NPI 1366427866

James Craig Wilson is a Diagnostic Radiology in Modesto, California. James Craig Wilson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for James Craig Wilson is 1366427866. The last update date is 2007-07-08.

James Craig Wilson's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for James Craig Wilson is 4301 Northstar Way, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name James Craig Wilson
Address 4301 Northstar Way, Modesto, California
Phone Number 2093422300
Fax Number 2095244240
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1366427866
Provider Enumeration Date 2005-12-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4301 Northstar Way
City Modesto
State California (CA)
Post Code 953569262
Phone Number 2093422300
Fax Number 2095244240

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A24429
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A244290 CA --
00A244290 CA BLUE SHIELD

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FAQs about James Craig Wilson

What is the James Craig Wilson's unique identification number?

The James Craig Wilson has been assigned the NPI (National Provider Identifier) Number 1366427866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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

The James Craig Wilson is physically situated at the following address: 4301 Northstar Way, Modesto, CA, 953569262.

What is the James Craig Wilson's specialty and taxonomy code?

The James Craig Wilson's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366427866 to James Craig Wilson?

The Centers for Medicare & Medicaid Services assigned the 1366427866 to James Craig Wilson on 2005-12-07.

As of what date was the information regarding James Craig Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James Craig Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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