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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERIE MICHAEL WILSON, MD

Active

JEFFERIE MICHAEL WILSON, MD is a Pediatrics healthcare provider located in PETERSON AFB, Colorado. NPI 1922444132 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · PETERSON AFB, CO

Registration Details

NPI Number
1922444132
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2013 (13.269807637304 yrs)
Last Updated
Aug 23, 2019
License
29958 (OK)

Practice Information

Address
559 VINCENT ST
ATTN: 21 HCOS/SGOC - PEDS
PETERSON AFB, CO, 809141540
Browse CO providers · Browse ZIP 80914
Phone
7195561197
Fax
8778131756
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in PETERSON AFB, CO

Name Credential NPI
DR. MATTHEW SEAN MCDONOUGH M.D. 1891929972
DR. JOHN MARK BOUCHILLON M.D. 1386030476
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.