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Brian Wilson, CPSW

NPI 1417769001 · on the registry since 2025

Practice

Address
309 S. Chino Loop
Gamerco, NM 87317
Phone
(505) 488-2380

Additional practice sites

  • 2915 W Historic Highway 66 Rm 1203, Gallup, NM

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-22

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 New Mexico