Dr. Thomas A Wilson
Pediatric Endocrinologist
1010 Murray Ave
San Luis Obispo
, California 93405-1806
Dr. Thomas A Wilson
Pediatric Endocrinologist
1010 Murray Ave
San Luis Obispo
, California 93405-1806
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Thomas A Wilson
- Po Box 16012
- San Luis Obispo, CA
- Zip : 93406-6012
- Phone :
Second Address
- Dr. Thomas A Wilson
- 1010 Murray Ave
- San Luis Obispo, CA
- Zip : 93405-1806
- Fax : (805) 546-7932
- Phone : (805) 546-7692
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FAQs
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Is Dr. Thomas A Wilson a sole practitioner?
Is Dr. Thomas A Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0205X | Pediatric Endocrinologist | 151531 | NY |
| Y | 2080P0205X | Pediatric Endocrinologist | G30444 | CA |
National Provider Identifier
| NPI | 1063454080 |
|---|---|
| Provider Name | Dr. Thomas A Wilson |
| First Address | San Luis Obispo, CA 93406-6012 |
| Second Address | San Luis Obispo, CA 93405-1806 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 19/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00725544 | (05) | NY |
| 4249553 | AETNA (01) | NY |
| 79A002 | EMPIRE BC.BS (01) | NY |
| B79477 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.