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Individual

JOSHUA MATTHEW WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Mailing address
15570 CASTLEGATE CT, COLORADO SPRINGS, CO 80921-1809
(813) 731-9119

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP60812176
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9189812
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304732600
FL
01
G8044
BCBS FLORIDA
FL
Enumeration date
06/09/2005
Last updated
07/20/2023
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