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Search › California › 207P00000X

Samuel Wilson, MD

NPI 1912948019 · on the registry since 2006

Practice

Address
12021 Jacaranda Ave
101
Hesperia, CA 92345
Phone
(760) 956-5057
Organisation at this address
Abraham Wilson Inc
Jacaranda Radiology
Keen Medical Group Inc
Keen Medical Group, Inc.
Bryan A. Gunnoe, Md, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
208D00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California