Individual
MR. CHARLES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(720) 456-2958
Mailing address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1637329
CO
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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