Organization
JAY WILSON D.C. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY WILSON D.C. (OWNER)
(303) 449-7414
Entity
Organization
Contact information
Practice address
1455 YARMOUTH AVE STE 112, BOULDER, CO 80304-4345
(303) 449-7414
(303) 449-2147
Mailing address
1455 YARMOUTH AVE STE 112, BOULDER, CO 80304-4345
(303) 449-7414
(303) 449-2147
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2311
CO
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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