Individual
CYNTHIA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-6435
Mailing address
9904 BRUCE LN, NORTHGLENN, CO 80260-6027
(303) 254-9670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004147
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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