Healthcare Provider Details

I. General information

NPI: 1063830982
Provider Name (Legal Business Name): JILLIAN WANG COLSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10281 N ORACLE RD SUITE 107
ORO VALLEY AZ
85737
US

IV. Provider business mailing address

10281 N ORACLE RD SUITE 107
ORO VALLEY AZ
85737
US

V. Phone/Fax

Practice location:
  • Phone: 520-526-1487
  • Fax:
Mailing address:
  • Phone: 520-526-1487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number58120
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: