person
Glen P Wilson, MD
Diagnostic Radiology Physician in Albuquerque, New Mexico
NPI 1285638999

Glen P Wilson is a Diagnostic Radiology Physician based in Albuquerque, NM and is specialized in Diagnostic Radiology. Glen P Wilson practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Glen P Wilson is 1285638999 and holds a License No. 2000-314 (New Mexico).

The current practice location address for Glen P Wilson is 4901 Lang Ave Ne, Albuquerque, NM and can be reached out via phone at 505-842-8171 and via fax at 505-857-3877. You can also correspond with Glen P Wilson through the mailing address at 4901 LANG AVE NE, ALBUQUERQUE, NM - 87109-4495 (mailing address contact number: 505-842-8171).

Location: 4901 Lang Ave Ne, Albuquerque, NM, 87109-4495
person
Provider Profile Details
NPI Number
1285638999
Provider Name
Glen P Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4901 Lang Ave Ne, Albuquerque, NM, 87109-4495
Phone Number
505-842-8171
Fax Number
505-857-3877
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700521102 01 NM MEDICARE GROUP
L0634 05 NM
45138 05 NM
600521002 01 NM MEDICARE IDTF
2258272 01 NM MEDICARE GROUP
66463 05 NM
800521126 01 NM MEDICARE IDTF
52713 05 NM
institution
Provider Business Practice Location Address Details
Address
4901 Lang Ave Ne
City
State
Zip
87109-4495
Phone Number
505-842-8171
Fax Number
505-857-3877
person
Provider Business Mailing Address Details
Address
4901 Lang Ave Ne
City
State
Zip
87109-4495
Phone Number
505-842-8171
Fax Number
505-857-3877
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2000-314 (New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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