Donnelly Wilkes

NPI #1033111836 in Newbury Park, California

Provider Information

NPI Number: 1033111836
Entity Type: Individual
Name: Donnelly Wilkes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Enumeration Date: Aug 11, 2005
Last Updated: Jun 12, 2015

Practice Location

Address: 400 S REINO RD
Address 2: SUITE 200
City: Newbury Park
State: California
ZIP Code: 91320-4284
Phone: (805) 499-4446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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