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Mr. Timothy Wilson, MD
Urology Physician in Santa Monica, California
NPI 1912005422

Timothy Wilson is a Urology Physician based in Monrovia, CA. Timothy Wilson practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Timothy Wilson is 1912005422 and holds a License No. G57490 (California).

The current practice location address for Timothy Wilson is 2121 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-582-7137 and via fax at 310-582-7140.

Location: 2121 Santa Monica Blvd, Santa Monica, CA, 91016-4066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912005422
Provider Name
Timothy Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2121 Santa Monica Blvd, Santa Monica, CA, 91016-4066
Phone Number
310-582-7137
Fax Number
310-582-7140
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G574900 05 CA
institution
Provider Business Practice Location Address Details
Address
2121 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2303
Phone Number
310-582-7137
Fax Number
310-582-7140
person
Provider Business Mailing Address Details
Address
2121 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2303
Phone Number
310-582-7137
Fax Number
310-582-7140
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G57490 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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