Randolph Wilson in Lamont - Physician Assistant

Randolph Wilson - NPI 1457496937

Randolph Wilson is a Physician Assistant in Lamont, California. Randolph Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randolph Wilson is 1457496937. The last update date is 2007-07-08.

Randolph Wilson's current location address is 8787 Hall Road, Lamont, California. You can contact this provider via phone number 6618453731 and fax number 6618451157. The mailing address for Randolph Wilson is 8787 Hall Road, Lamont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph Wilson
Address 8787 Hall Road, Lamont, California
Phone Number 6618453731
Fax Number 6618451157
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1457496937
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8787 Hall Road
City Lamont
State California (CA)
Post Code 93241
Phone Number 6618453731
Fax Number 6618451157

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA18766
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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FAQs about Randolph Wilson

What is the unique identifier code issued to Randolph Wilson by the Centers for Medicare & Medicaid Services (CMS)?

The Randolph Wilson has been assigned the NPI (National Provider Identifier) 1457496937. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Randolph Wilson is located?

The Randolph Wilson is situated at the following address: 8787 Hall Road, Lamont, CA, 93241.

What is Randolph Wilson's area of expertise and its corresponding taxonomy classification?

The Randolph Wilson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Randolph Wilson receive the assignment of its 1457496937 from the Centers for Medicare & Medicaid Services?

The Randolph Wilson was issued its 1457496937 by the Centers for Medicare & Medicaid Services on 2007-02-21.

When was the information regarding Randolph Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Randolph Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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