Individual
DR. DONALD CRAIG WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 W 16 ST, GREELEY, CO 80634
(970) 356-2520
(970) 356-6928
Mailing address
6801 W 20TH ST, SUITE 101, ATTN:SUE, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01211333
—
CO
Enumeration date
02/23/2006
Last updated
04/22/2020
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