Glen P Wilson in Albuquerque - Diagnostic Radiology
Glen P Wilson - NPI 1285638999
Glen P Wilson is a Diagnostic Radiology in Albuquerque, New Mexico. Glen P Wilson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Glen P Wilson is 1285638999. The last update date is 2023-07-21.
Glen P Wilson's current location address is 4901 Lang Ave Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058428171 and fax number 5058573877. The mailing address for Glen P Wilson is 4901 Lang Ave Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen P Wilson |
|---|---|
| Address | 4901 Lang Ave Ne, Albuquerque, New Mexico |
| Phone Number | 5058428171 |
| Fax Number | 5058573877 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285638999 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
| Address | 4901 Lang Ave Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 8710944950 |
| Phone Number | 5058428171 |
| Fax Number | 5058573877 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2000-314 |
|
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 |
|---|---|---|---|
| 700521102 | NM | MEDICARE GROUP | |
| L0634 | NM | -- | |
| 45138 | NM | -- | |
| 600521002 | NM | MEDICARE IDTF | |
| 2258272 | NM | MEDICARE GROUP | |
| 66463 | NM | -- | |
| 800521126 | NM | MEDICARE IDTF | |
| 52713 | NM | -- |
Post Comment/ Review Below
What is the Glen P Wilson's unique identification number?
The Glen P Wilson has been assigned the NPI (National Provider Identifier) Number 1285638999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Glen P Wilson located?
The Glen P Wilson is located at 4901 Lang Ave Ne, Albuquerque, NM 8710944950.
What is Glen P Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glen P Wilson's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285638999 to Glen P Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1285638999 to Glen P Wilson on 2005-06-09.
As of what date was the information regarding Glen P Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glen P Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-21.
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