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Individual

BRITTANY WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
(834) 556-1083
Mailing address
559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
07/09/2019
Last updated
07/08/2024
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