Individual
DR. JEFFREY D WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2490 W 26TH AVE, SUITE 220, DENVER, CO 80211-5314
(303) 433-9729
(303) 480-0405
Mailing address
2490 W 26TH AVE, SUITE 220, DENVER, CO 80211-5314
(303) 433-9729
(303) 480-0405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28016
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280163
—
CO
Enumeration date
03/16/2006
Last updated
03/07/2008
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