Individual
MARY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 UNIVERSITY BLVD, SUITE 200, DENVER, CO 80206-4630
(303) 329-9144
Mailing address
101 UNIVERSITY BLVD, SUITE 200, DENVER, CO 80206-4630
(303) 329-9144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32089
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01320894
—
CO
Enumeration date
11/08/2006
Last updated
01/23/2008
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