# WILEY J JINKINS III MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841479862
- **Authorized official:** WILEY J JINKINS III M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (719) 219-0914

## Contact information

- **Practice address:** 2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
- **Practice address phone:** (719) 219-0914
- **Mailing address:** 2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
- **Mailing address phone:** (719) 219-0914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 11/14/2007