BRIAN WILSON MD L.L.C. NPI 1134315005

NPI Information

BRIAN WILSON MD L.L.C. is an adolescent medicine pediatrics in Hilo, HI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BRIAN WILSON MD L.L.C. NPI is 1134315005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

275 PONAHAWAI ST
SUITE 106
HILO, HI
ZIP 96720-074
Phone: (808) 961-0022
Fax: (808) 969-3852

The provider's authorized official is Brian J Wilson .
The authorized official title is Pediatrician and has the following contact phone number (808) 961-0022.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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