Organization
WILSON FAMILY CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H WILSON M.D. (PHYSICIAN MEDICAL DIRECTOR)
(303) 921-1349
Entity
Organization
Contact information
Practice address
7384 S ALTON WAY, SUITE 204, CENTENNIAL, CO 80112-2369
(303) 921-1349
Mailing address
9861 E PINEWOOD AVE, ENGLEWOOD, CO 80111-5446
(303) 921-1349
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
43521
CO
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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