Individual provider · Type 1 NPI

Wilson Talmage Lewis

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1568302164 Active

Practice location

10238 E Hampton Ave Ste 506
Mesa, AZ 85209-3321

Call (480) 834-7546 Map

Fax (480) 833-8313

Mailing address

1301 S Crismon Rd
Mesa, AZ 85209-3767

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568302164

Wilson Talmage Lewis's National Provider Identifier is 1568302164, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 31, 2026.