Provider Demographics
NPI:1912253287
Name:WILKINS, MONICA J (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:J
Last Name:WILKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:250 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6517
Mailing Address - Country:US
Mailing Address - Phone:575-446-5801
Mailing Address - Fax:575-446-5826
Practice Address - Street 1:6 RIVERSIDE PLZ
Practice Address - Street 2:
Practice Address - City:BLOSSBURG
Practice Address - State:PA
Practice Address - Zip Code:16912-1137
Practice Address - Country:US
Practice Address - Phone:570-638-2174
Practice Address - Fax:570-638-3006
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0999207Q00000X
PAMD462203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine