William Le Roy Wilson in La Mesa - Interventional Pain Medicine
William Le Roy Wilson - NPI 1972598316
William Le Roy Wilson is a Interventional Pain Medicine in La Mesa, California. William Le Roy Wilson practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for William Le Roy Wilson is 1972598316. The last update date is 2021-02-26.
William Le Roy Wilson's current location address is 5565 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 6194602700 and fax number 6194602702. The mailing address for William Le Roy Wilson is 5565 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Le Roy Wilson |
|---|---|
| Address | 5565 Grossmont Center Dr, La Mesa, California |
| Phone Number | 6194602700 |
| Fax Number | 6194602702 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972598316 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2021-02-26 |
Provider Mailing Address Detail
| Address | 5565 Grossmont Center Dr |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919423020 |
| Phone Number | 6194602700 |
| Fax Number | 6194602702 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | G44872 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G448720 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to William Le Roy Wilson by the Centers for Medicare & Medicaid Services?
The William Le Roy Wilson has been issued the NPI (National Provider Identifier) 1972598316, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where William Le Roy Wilson is physically located?
The William Le Roy Wilson is situated at the following address: 5565 Grossmont Center Dr, La Mesa, CA 919423020.
What is William Le Roy Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William Le Roy Wilson is Interventional Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 208Vp0014X.
On what date did the William Le Roy Wilson receive its 1972598316 assignment from the Centers for Medicare & Medicaid Services?
The William Le Roy Wilson was assigned its 1972598316 by the Centers for Medicare & Medicaid Services on 2005-09-13.
When was the information pertaining to William Le Roy Wilson most recently updated or revised?
The details related to William Le Roy Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-26.