Dr. Mark E Wilson, M.D.
Anesthesiology in Lafayette, CO. Individual provider (NPI-1).
NPI number1437293222
StatusActive
Last updated in NPPESOct 30, 2007
Details
- NPI
- 1437293222
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark E Wilson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2007
- Last updated
- Oct 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 27001 | CO | Yes |
Practice location
280 Exempla CirLafayette, CO 80026-3370
Phone 303-861-3451
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
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