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Carson Wilson

Anesthesiologist Assistant in Santa Fe, NM. Individual provider (NPI-1).

NPI number1447158985
StatusActive
Last updated in NPPESOct 26, 2026

Details

NPI
1447158985
Entity type
Individual (NPI-1)
Name
Carson Wilson
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2026
Certification date
Oct 26, 2026
Last updated
Oct 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes

Practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone 505-913-3361

Mailing address

5846 305th St
Albany, MO 64402-8123

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