Individual
DR. CHRISTOPHER ALLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 N. GRAND AVE., STE 260, PUEBLO, CO 81003-2729
(719) 562-2010
(719) 562-2097
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31499
CO
207Q00000X
Family Medicine Physician
DR.0031499
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DR.0031499
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01314996
—
CO
Enumeration date
04/04/2006
Last updated
03/31/2025
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