Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID P WILSON, MD
DeactivatedDAVID P WILSON, MD is a Internal Medicine healthcare provider located in FORT JONES, California. NPI 1801891130 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · FORT JONES, CA
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1801891130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (0.75342465753425 yrs)
- Last Updated
- Jan 20, 2012
- Deactivated
- Mar 16, 2006
- Licenses
-
G37216 (CA)G37216 (CA)
Practice Information
- Address
-
11219 N HIGHWAY 3FORT JONES, CA, 960329731Browse CA providers · Browse ZIP 96032
- Phone
- 5304685766
- Fax
- 5308429054
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Emergency Medicine
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.