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Individual
MRS. TIFFANY CHANEL WILSON
Active
Individual
MRS. TIFFANY CHANEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D76784
MD
207V00000X
Obstetrics & Gynecology Physician
DR.0070670
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
MD040762
DC
Other
Enumeration date
06/10/2008
Last updated
11/10/2023
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