Keith Wilson, P.A

NPI 1841470507 · on the registry since 2007

Practice

Address: 12550 Hesperia Road
Suite100
Victorville, CA 92395
Phone: (760) 241-6666
Fax: (760) 241-7575
Organisation at this address: High Desert Primary Care
High Desert Primary Care
High Desert Specialty Group
Imperial Physical Therapy P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-27

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