Randolph Wilson, PA
NPI #1457496937 in Lamont, California
Provider Information
- NPI Number
- 1457496937
- Entity Type
- Individual
- Name
- Randolph Wilson, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8787 HALL ROAD
- City
- Lamont
- State
- California
- ZIP Code
- 93241
- Phone
- (661) 845-3731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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