Individual provider · Type 1 NPI

Tara L. Wilson, MD

Surgery Physician · Riverside, CA

NPI number 1720174345 Active

Practice location

3660 Park Sierra Dr, Suite 105
Riverside, CA 92505-3071

Call (951) 278-8870 Map

Fax (951) 278-8913

Mailing address

P.o. Box 2828
Corona, CA 92878-2828

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XA80520 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1720174345

Tara L. Wilson, MD's National Provider Identifier is 1720174345, issued on Oct 4, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Riverside, CA. The record was last updated on Dec 22, 2021.