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Dr. Thomas A Wilson, MD
Pediatric Endocrinology Physician in San Luis Obispo, California
NPI 1063454080

Thomas A Wilson is a Pediatric Endocrinology Physician based in San Luis Obispo, CA and is specialized in Pediatric Endocrinology. Thomas A Wilson practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Thomas A Wilson is 1063454080 and holds a License No. 151531 (California).

The current practice location address for Thomas A Wilson is 1010 Murray Ave, San Luis Obispo, CA and can be reached out via phone at 805-546-7692 and via fax at 805-546-7932.

Location: 1010 Murray Ave, San Luis Obispo, CA, 93406-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063454080
Provider Name
Thomas A Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1010 Murray Ave, San Luis Obispo, CA, 93406-6012
Phone Number
805-546-7692
Fax Number
805-546-7932
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00725544 05 NY
4249553 01 NY AETNA
79A002 01 NY EMPIRE BC.BS
institution
Provider Business Practice Location Address Details
Address
1010 Murray Ave
City
San Luis Obispo
State
California
Zip
93405-1806
Phone Number
805-546-7692
Fax Number
805-546-7932
person
Provider Business Mailing Address Details
Address
1010 Murray Ave
City
San Luis Obispo
State
California
Zip
93405-1806
Phone Number
805-546-7692
Fax Number
805-546-7932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Endocrinology
Taxonomy
2080P0205X
License No.
151531 (New York)
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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