Wiley, Brandon

Wiley, Brandon is an individual health care provider with primary practice located at 58 Glen Royal Dr , Pueblo CO 81005-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wiley, Brandon can be contacted via phone (719) 565-6678.

Contact Information

Primary practice address
58 Glen Royal Dr Pueblo CO 81005-2263
Phone: (719) 565-6678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PTL.0017231 Colorado

Profile Details

NPI number 1093320111
LBN Legal business name Wiley, Brandon
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2020
Last updated Sep 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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