Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM LE ROY WILSON, M.D.
Deactivated Sole ProprietorDR. WILLIAM LE ROY WILSON, M.D. is a Interventional Vascular Surgery healthcare provider located in LA MESA, California. NPI 1972598316 is deactivated in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · LA MESA, CA
This NPI has been deactivated.
The record was deactivated on March 25, 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Deactivated NPIs are no longer valid for billing or credentialing.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
- 1972598316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (0.52876712328767 yrs)
- Last Updated
- Feb 26, 2021
- Deactivated
- Mar 25, 2006
- License
-
G44872 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5565 GROSSMONT CENTER DRBLDG. 3, SUITE 540LA MESA, CA, 919423020Browse CA providers · Browse ZIP 91942
- Phone
- 6194602700
- Fax
- 6194602702
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL HENRY VERDOLIN | M.D. | 1477525657 |
| MR. HUSSEIN M ABDULHADI | M.D. | 1629004890 |
| NAMRATHA PRABHU | M.D. | 1659717965 |
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.