Individual
TODD L WOLFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
419 W MAIN ST, STERLING, CO 80751-3033
(970) 522-4396
Mailing address
PO BOX 209, STERLING, CO 80751-0209
(970) 522-4396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1422
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08014227
—
CO
Enumeration date
01/18/2008
Last updated
01/18/2008
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