Individual
MARK WOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7117
Mailing address
4500 19TH ST, #100, BOULDER, CO 80304-0613
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
29596
CO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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