Organization
NORTH COLORADO UROLOGY PC
Active
Organization
NORTH COLORADO UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIAM WOLACH M.D. (OWNER)
(970) 378-1000
Entity
Organization
Contact information
Practice address
5890 W 13TH ST, STE 106, GREELEY, CO 80634-4821
(970) 378-1000
(970) 378-1899
Mailing address
5890 W 13TH ST, STE 106, GREELEY, CO 80634-4821
(970) 378-1000
(970) 378-1899
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52351564
—
CO
Enumeration date
05/23/2007
Last updated
11/14/2007
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