Individual
MR. DENNIS J WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6161
(505) 330-3865
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R42887
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002374
LOVELACE HP
NM
01
—
201018788
PRESBYTERIAN HP
NM
01
—
430044194
RR MEDICARE
NM
05
—
447103
—
AZ
05
—
97428874
—
CO
01
—
NM006487
BCBS
NM
05
—
T0128
—
UT
05
—
T4939
—
NM
Enumeration date
02/10/2006
Last updated
07/21/2016
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