Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN P WILSON, M.D.
ActiveGLEN P WILSON, M.D. is a Diagnostic Radiology healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1285638999 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1285638999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.196363813264 yrs)
- Last Updated
- Oct 30, 2024
- License
-
2000-314 (NM)
Practice Information
- Address
-
4901 LANG AVE NEALBUQUERQUE, NM, 871094495Browse NM providers · Browse ZIP 87109
- Phone
- 5058428171
- Fax
- 5058573877
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A MATYAS | MD | 1538162912 |
| DR. FAROOQ P AGHA | M.D. | 1700880598 |
| DR. JACK A BROCK | M.D. | 1851395610 |
| DR. RENEE J BUTLER-LEWIS | M.D. | 1194729962 |
| DR. FREDRICK I AKIYA | M.D. | 1740284546 |
| DR. MICHAEL A CREWS | M.D. | 1598769366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.