Healthcare Provider Details

I. General information

NPI: 1295751931
Provider Name (Legal Business Name): DAVID MICHAEL PILKINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E YOSEMITE AVE SUITE C
MERCED CA
95340-8220
US

IV. Provider business mailing address

410 E YOSEMITE AVE SUITE C
MERCED CA
95340-8220
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-7801
  • Fax: 209-722-1572
Mailing address:
  • Phone: 209-722-7801
  • Fax: 209-722-1572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG080845
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: