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Search › Colorado › 208000000X

Jefferie Wilson, MD

NPI 1922444132 · on the registry since 2013

Practice

Address
559 Vincent St
Attn: 21 Hcos/Sgoc - Peds
Peterson Afb, CO 80914
Phone
(719) 556-1197
Fax
(877) 813-1756
Organisation at this address
21st Medical Group
21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-23

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