Individual
DR. MARISA PEREZ-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13605 XAVIER LN, SUITE G @ THE CHATEAUX, BROOMFIELD, CO 80023-3603
(303) 951-1820
(303) 951-1826
Mailing address
13605 XAVIER LN, SUITE G @ THE CHATEAUX, BROOMFIELD, CO 80023-3603
(303) 951-1820
(303) 951-1826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2581
CO
152W00000X
Optometrist
4192
FL
Other
Enumeration date
07/27/2007
Last updated
05/02/2012
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