Louis Wilson's National Provider Identifier (NPI) Details
Louis Wilson,
NPI: 1144201633
Enumeration Date: 2005-11-10
Last updated: 2019-05-02
Sole Proprietor: NO
Status: active
Postal Address: 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM
Phone: 505-291-2134
Primary Practice Address: PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM
Practice's phone: 505-923-6770