Individual
TROY W WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1801 TERRACE CT, FORT COLLINS, CO 80528-6369
(970) 229-0668
(970) 229-0668
Mailing address
1801 TERRACE CT, FORT COLLINS, CO 80528-6369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1865
CO
363AS0400X
Surgical Physician Assistant
1865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95451871
—
CO
Enumeration date
11/21/2005
Last updated
08/06/2014
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