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Organization

LARRY D UNDERWOOD MD

Active
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Organization

LARRY D UNDERWOOD MD

Active
Other names
LARRY D UNDERWOOD MD
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY D UNDERWOOD MD (PHYSICIAN)
(303) 424-3206
Entity
Organization

Contact information

Practice address
7920 W 44TH AVE, WHEAT RIDGE, CO 80033-4506
(303) 424-3206
Mailing address
7920 W 44TH AVE, WHEAT RIDGE, CO 80033-4506

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20049
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22558764
CO
Enumeration date
02/19/2007
Last updated
10/06/2009
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