Donnelly Wilkes

NPI 1033111836 - Family Medicine - 207Q00000X

NPI Details
NPI 1033111836
Gender Male
Enumeration Date 08/11/2005
Last Updated 06/12/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
400 S REINO RD
SUITE 200
NEWBURY PARK CA, 91320-4284, US
Phone (805) 499-4446
Fax (805) 499-3636
Business Location
400 S REINO RD
SUITE 200
NEWBURY PARK CA, 91320-4284, US
Phone (805) 499-4446
Fax (805) 499-3636
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A85368
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According to our database, Donnelly Wilkes NPI is 1033111836, taxonomy code is 207Q00000X and license number is A85368, license state is located at California. Donnelly Wilkes physically located at 400 S Reino Rd, Newbury Park CA, 91320-4284. NPI Number Donnelly Wilkes has the Individual type.

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1033111836 NPI number is provided on an as is basis without warranty of any kind. 1033111836 is maintained by the National Plan & Provider Enumeration System. The contents of Donnelly Wilkes are for informational purposes only.