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NPI Code Detail

MEDICARE: ADAM S WILSON MD

MEDICARE: ADAM S WILSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD2016-0171NM

General Provider Information

NPI Number : 1467695072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM S WILSON MD
Provider Business Mailing Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number : 970-871-1234
Provider Business Practice Location Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number : 970-871-1234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2009
Last Update Date : 04/01/2026

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