Individual
DR. BRETT T WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2890 N POWERS BLVD, COLORADO SPRINGS, CO 80922-2800
(719) 573-4759
Mailing address
5751 SNOW CREEK PT APT 206, COLORADO SPRINGS, CO 80915-5053
(502) 330-5327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021875
CO
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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