Individual
PETER WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4298
(970) 384-6710
(970) 384-7536
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4298
(970) 384-6710
(970) 384-7536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47051
CO
2084P0800X
Psychiatry Physician
9800737
NC
Other
Enumeration date
12/13/2006
Last updated
04/24/2009
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