Individual
SAMANTHA JAYNE WILGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2847
(970) 810-2774
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2847
(970) 810-2774
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PDT.000632
CO
Other
Enumeration date
04/25/2024
Last updated
04/29/2025
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