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NPI Code Detail

MEDICARE: WILEY J JINKINS III MD PC

MEDICARE: WILEY J JINKINS III MD PC
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 Physician

General Provider Information

NPI Number : 1841479862
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILEY J JINKINS III MD PC
Provider Business Mailing Address
First Line : 2020 N ACADEMY BLVD
Second Line : SUITE 155
City : COLORADO SPRINGS
State : CO
Zip : 80909-1567
Country : US
Telephone Number : 719-219-0914
Fax Number :
Provider Business Practice Location Address
First Line : 2020 N ACADEMY BLVD
Second Line : SUITE 155
City : COLORADO SPRINGS
State : CO
Zip : 80909-1567
Country : US
Telephone Number : 719-219-0914
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : WILEY J JINKINS III
Credential : M.D.
Telephone Number : 719-219-0914
Provider Enumeration Date : 10/25/2007
Last Update Date : 11/14/2007

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