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John Starks Wilson JR., MD
Diagnostic Radiology Physician in Burlingame, California
NPI 1871537308

John Starks Wilson JR. is a Diagnostic Radiology Physician based in Novato, CA and is specialized in Diagnostic Radiology. John Starks Wilson JR. practices in Burlingame, CA and has the professional credentials of MD. The NPI Number for John Starks Wilson JR. is 1871537308 and holds a License No. G27483 (California).

The current practice location address for John Starks Wilson JR. is 1783 El Camino Real, Burlingame, CA and can be reached out via phone at 650-696-5515. You can also correspond with John Starks Wilson JR. through the mailing address at P.O. BOX 6102, NOVATO, CA - 94948-6102 (mailing address contact number: 415-884-3418).

Location: 1783 El Camino Real, Burlingame, CA, 94948-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871537308
Provider Name
John Starks Wilson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1783 El Camino Real, Burlingame, CA, 94948-6102
Phone Number
650-696-5515
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G274830 05 CA
300087076 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1783 El Camino Real
City
Burlingame
State
California
Zip
94010-3205
Phone Number
650-696-5515
Fax Number
person
Provider Business Mailing Address Details
Address
1783 El Camino Real
City
Burlingame
State
California
Zip
94010-3205
Phone Number
650-696-5515
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G27483 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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