Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 2278 | NV |
N | 208000000X | Pediatrician | A-2018-16 | NM |
N | 208000000X | Pediatrician | OS016709 | PA |
NPI | 1326332545 |
---|---|
Provider Name | Robert D. Wilkinson |
First Address | Las Vegas, NV 89107-1084 |
Second Address | Las Vegas, NV 89107-1084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 31/08/2019 |