Leonard C Wilson in Alexandria - Physician Assistant
Leonard C Wilson - NPI 1407965445
Leonard C Wilson is a Physician Assistant in Alexandria, Louisiana. Leonard C Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leonard C Wilson is 1407965445. The last update date is 2007-07-08.
Leonard C Wilson's current location address is Po Box 69004, Alexandria, Louisiana. You can contact this provider via phone number 3184730010 and fax number 3184835036. The mailing address for Leonard C Wilson is Po Box 69004, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leonard C Wilson |
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Address | Po Box 69004, Alexandria, Louisiana |
Phone Number | 3184730010 |
Fax Number | 3184835036 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1407965445 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 69004 |
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City | Alexandria |
State | Louisiana (LA) |
Post Code | 713069004 |
Phone Number | 3184730010 |
Fax Number | 3184835036 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Leonard C Wilson's specialty and taxonomy code?
The Leonard C Wilson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Leonard C Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leonard C Wilson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Leonard C Wilson's 1407965445 issued?
The Leonard C Wilson's 1407965445 was issued on 2006-08-30.
On what date did the Centers for Medicare & Medicaid Services issue the 1407965445 to Leonard C Wilson?
The Leonard C Wilson received its 1407965445 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information pertaining to Leonard C Wilson most recently updated or revised?
The details related to Leonard C Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA