Individual
CARRIE ELIZABETH WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 STATE HIGHWAY 52, STE 240, DACONO, CO 80514-9100
(303) 501-2600
(303) 833-7017
Mailing address
4943 STATE HIGHWAY 52, STE 240, DACONO, CO 80514-9100
(303) 501-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0049758
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00326697
—
CO
Enumeration date
03/30/2009
Last updated
02/23/2015
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