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Individual

DR. KRISTIN B WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1475 PINE GROVE RD, SUITE 102, STEAMBOAT SPRINGS, CO 80487-8803
(970) 879-0203
(970) 879-1389
Mailing address
1475 PINE GROVE RD, SUITE 102, STEAMBOAT SPRINGS, CO 80487-8803
(970) 879-0203
(970) 879-1389

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39058
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080187000
RAILROAD MEDICARE
CO
05
63574748
CO
Enumeration date
09/06/2006
Last updated
03/01/2016
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