Individual
DAVID UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
1565 HWY 150 S. STE. C, EVANSTON, WY 82930-8752
(307) 789-4224
(307) 789-4225
Mailing address
PO BOX 2910, EVANSTON, WY 82930-8752
(307) 789-4224
(307) 789-4225
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/23/2011
Last updated
02/06/2013
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