Whalio Doctors

NPI 1043293921

Jan Gillespie-Wagner, MD

Practitioner Interventional Pain Medicine Physician Greeley, CO

Practice location

Address
1175 58th Ave STE 200, Greeley, CO 80634-4807
Phone
(970) 495-0444
Fax
(970) 488-3106
Mailing address
1175 58th Ave STE 202, Greeley, CO 80634-4807

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 26768 (CO)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 26768 (CO)

Registry record

NPI
1043293921
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Nov 2005
Record last updated
30 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.