Wilgarde, David Stephen

Wilgarde, David Stephen is an sole proprietor health care provider with primary practice located at 3001 E Tahquitz Canyon Way Ste 108 , Palm Springs CA 92262-6900. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wilgarde, David Stephen can be contacted via phone (760) 320-4292.

Contact Information

Primary practice address
3001 E Tahquitz Canyon Way Ste 108 Palm Springs CA 92262-6900
Phone: (760) 320-4292
Fax: (760) 322-9475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X G744630
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G74463 California

Profile Details

NPI number 1790785467
LBN Legal business name Wilgarde, David Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Jun 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790785467 NPPES
California MEDICAID 00G744632

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