Samuel L. Wilson, M.d., Inc.
NPI #1962761668 in Santa Monica, California
Provider Information
- NPI Number
- 1962761668
- Entity Type
- Organization
- Organization Name
- Samuel L. Wilson, M.d., Inc.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 15, 2012
- Last Updated
- May 15, 2012
Practice Location
- Address
- 1137 2ND ST
- Address 2
- SUITE 111
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403-5011
- Phone
- (310) 395-9590
Authorized Official
- Name
- SAMUEL L. WILSON, M.D.
- Title
- SOLO PRACTITIONER
- Phone
- (310) 395-9590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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