Individual
LARRY D UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7920 W 44TH AVE, WHEAT RIDGE, CO 80033-4506
(303) 424-3206
(303) 940-1099
Mailing address
7920 W 44TH AVE, WHEAT RIDGE, CO 80033-4506
(303) 424-3206
(303) 940-1099
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20049
CO
Other
Enumeration date
09/30/2005
Last updated
10/06/2009
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