Search › Colorado › 103TC0700X
Irene Wiles, PH.D
NPI 1609066315 · on the registry since 2007
Practice
- Address
- 559 Vincent St
Peterson Afb, CO 80914 - Phone
- (719) 556-4762
- Organisation at this address
- 21st Medical Group
21st Medgrp-PetersonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Additional practice sites
- 3102 E. Highland Avenue, Patton, CA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
103TC0700X - Licence states on file
- CA, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado