Individual
JAMES R WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2243
(970) 641-1456
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2243
(970) 641-1456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689707689
RAILROAD MEDICARE
CO
05
—
59628367
—
CO
Enumeration date
03/13/2007
Last updated
03/28/2008
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