Roy C Wilson, MD | |
2025 E 7th St, Long Beach, CA 90804-4590 | |
(314) 330-5348 | |
Not Available |
Full Name | Roy C Wilson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2025 E 7th St, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639180193 | NPI | - | NPPES |
036108411 | Other | IL | BLUE SHIELD |
Entity Name | Mental Health America Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578689402 PECOS PAC ID: 1759419997 Enrollment ID: O20100510000639 |
Mailing Address | Practice Location Address |
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Roy C Wilson, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Roy C Wilson, MD 2025 E 7th St, Long Beach, CA 90804-4590 Ph: (314) 330-5348 |
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