Gwen Wilson is a Physician Assistant in Gallup, New Mexico. Gwen Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gwen Wilson is 1497727218. The last update date is 2007-07-09.
Gwen Wilson's current location address is 1901 Redrock Dr, Gallup, New Mexico. You can contact this provider via phone number 5058637000. The mailing address for Gwen Wilson is 1901 Redrock Dr, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Wilson |
|---|---|
| Address | 1901 Redrock Dr, Gallup, New Mexico |
| Phone Number | 5058637000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497727218 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1901 Redrock Dr |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873015683 |
| Phone Number | 5058637000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 88-PA-01 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 326240 | AZ | -- | |
| 93518 | NM | -- | |
| 10002165 | NM | LOVELACE HEALTH/SALUD | |
| PROVP16800 | MOLINA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gwen Wilson by the Centers for Medicare & Medicaid Services?
The Gwen Wilson has been issued the NPI (National Provider Identifier) 1497727218, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gwen Wilson?
The Gwen Wilson is situated at 1901 Redrock Dr, in the city of Gallup, state of NM, with the zip code 873015683.
What is Gwen Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gwen Wilson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the Gwen Wilson receive its 1497727218?
The Gwen Wilson was issued its 1497727218 on 2006-02-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Gwen Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gwen Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.