Individual
JOHN WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
606 S 4TH AVE, BRIGHTON, CO 80601
(303) 659-8760
(303) 659-8760
Mailing address
12114 HANNIBAL ST, BRIGHTON, CO 80603-6959
(303) 906-8886
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
210
CO
Other
Enumeration date
08/16/2012
Last updated
08/16/2018
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