Individual
WILEY J. JINKINS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 219-0914
(719) 219-0916
Mailing address
2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 219-0914
(719) 219-0916
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30211
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302116
—
CO
Enumeration date
12/02/2006
Last updated
10/25/2007
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