Individual
DR. JUDITH D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 BROADWAY, DENVER, CO 80205-2526
(303) 293-2220
Mailing address
2100 BROADWAY, DENVER, CO 80205-2526
(303) 293-2220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08326843
—
CO
Enumeration date
02/27/2007
Last updated
07/08/2007
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