Individual provider · Type 1 NPI

Alix Mackenzie Wilson, PA-C

Surgical Physician Assistant · Oakland, CA

NPI number 1912419276 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Call (203) 570-0111 Map

Mailing address

2207 Bridgeport Way
Martinez, CA 94553-6711

Other practice locations

  • 400 Parnassus Ave, San Francisco, CA 94143-2202 · (415) 476-1000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician 2080S0010X55025 (CA)
Physician Assistant 363A00000XPA55025 (CA)
Surgical Physician Assistant Primary 363AS0400XPA55025 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1912419276

Alix Mackenzie Wilson, PA-C's National Provider Identifier is 1912419276, issued on Oct 26, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oakland, CA. The record was last updated on Mar 17, 2018.