Organization
W. BRUCE WILSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. BRUCE WILSON M.D. P.C. (MEDICAL DOCTOR)
(303) 733-5333
Entity
Organization
Contact information
Practice address
850 E. HARVARD AVE., SUITE 355, DENVER, CO 80210-5033
(303) 733-5333
(303) 733-5386
Mailing address
850 E. HARVARD AVE., SUITE 355, DENVER, CO 80210-5033
(303) 733-5333
(303) 733-5386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16962
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01169622
—
CO
Enumeration date
04/21/2009
Last updated
12/11/2009
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