Jon M Wilson is a Sports Medicine in El Paso, Texas. Jon M Wilson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jon M Wilson is 1104970862. The last update date is 2020-06-10.
Jon M Wilson's current location address is 615 N Zaragoza Rd, El Paso, Texas. You can contact this provider via phone number 9858670301. The mailing address for Jon M Wilson is 615 N Zaragoza Rd, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon M Wilson |
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Address | 615 N Zaragoza Rd, El Paso, Texas |
Phone Number | 9858670301 |
Fax Number | |
Sole Proprietor | N |
Credentials | DPM |
NPI Number Detail
NPI Number | 1104970862 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
Address | 615 N Zaragoza Rd |
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City | El Paso |
State | Texas (TX) |
Post Code | 799074773 |
Phone Number | 9858670301 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 213Es0000X |
Licence No | DPM.200036 |
Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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DPM.200036 | LA | LA STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jon M Wilson by the Centers for Medicare & Medicaid Services?
The Jon M Wilson has been assigned the NPI (National Provider Identifier) 1104970862 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jon M Wilson located?
The Jon M Wilson is located at 615 N Zaragoza Rd, El Paso, TX 799074773.
What is the Jon M Wilson's specialty and taxonomy code?
The Jon M Wilson's specialty is Sports Medicine, and the corresponding taxonomy code is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104970862 to Jon M Wilson?
The Jon M Wilson received its 1104970862 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information pertaining to Jon M Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jon M Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-10.