Organization
JONATHAN H WOODCOCK MD & ASSOC PC
Active
Other names
Neurological Rehabilitation Resource PC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HUGH WOODCOCK M.D. (PRESIDENT)
(303) 288-7882
Entity
Organization
Contact information
Practice address
8515 PEARL ST, 203, THORNTON, CO 80229-4809
(303) 288-7882
(303) 288-7874
Mailing address
8515 PEARL ST, 203, THORNTON, CO 80229-4809
(303) 288-7882
(303) 288-7874
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29436
CO
2084P0800X
Psychiatry Physician
29436
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019857
—
CO
01
—
JOL5908
ANTHEM BLUE CROSS BLUE SH
CO
01
—
WOL5918
ANTHEM BLUE CROSS BLUE SH
CO
Enumeration date
07/07/2005
Last updated
02/17/2010
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