MEDICARE: ROBERT D. WILKINSON D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	DO2278	NV
2	261QU0200X	Urgent Care Clinic/Center	DO2278	NV
3	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	DO2278	NV

General Provider Information

NPI Number	:	1326332545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT D. WILKINSON D.O.

Provider Business Mailing Address
First Line	:	5510 S FORT APACHE RD # 465
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7700
Country	:	US
Telephone Number	:	725-867-8144
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 S FORT APACHE RD # 465
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7700
Country	:	US
Telephone Number	:	725-867-8144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	01/25/2024

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