Healthcare Provider Details

I. General information

NPI: 1760396204
Provider Name (Legal Business Name): C2H WILKINSON MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 S FORT APACHE RD # 116
LAS VEGAS NV
89148-7700
US

IV. Provider business mailing address

5510 S FORT APACHE RD # 116
LAS VEGAS NV
89148-7700
US

V. Phone/Fax

Practice location:
  • Phone: 702-250-6106
  • Fax:
Mailing address:
  • Phone: 702-250-6106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ROBERT WILKINSON
Title or Position: CMO
Credential: DO
Phone: 702-250-6106