Stephanie Caroline Wilson, PA-C

NPI #1235688300 in Longmont, Colorado

Provider Information

NPI Number: 1235688300
Entity Type: Individual
Name: Stephanie Caroline Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2016
Last Updated: Feb 13, 2017

Practice Location

Address: 1551 PROFESSIONAL LN
Address 2: SUITE 220
City: Longmont
State: Colorado
ZIP Code: 80501-6972
Phone: (720) 279-9098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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