| Randolph Wilson, PA | |
|
8787 Hall Road, Lamont, CA 93241 | |
| (661) 845-3731 | |
| (661) 845-1157 |
| Full Name | Randolph Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8787 Hall Road, Lamont, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457496937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18766 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Wilson, PA Po Box 1559, Attn: Ann Lee Clinica Sierra Vista, Bakersfield, CA 93302-1559 Ph: (661) 635-3050 | Randolph Wilson, PA 8787 Hall Road, Lamont, CA 93241 Ph: (661) 845-3731 |
Mr. Fernando U Mata, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10200 Main St, Lamont, CA 93241 Phone: 661-845-1788 Fax: 661-845-1791 | |
Mr. Douglas Mitchell Hilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8787 Hall Rd, Lamont, CA 93241 Phone: 661-635-3050 Fax: 661-326-1347 |