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Individual

MR. BRENT ALLEN WOODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2373 G RD STE 160, GRAND JUNCTION, CO 81505-1003
(970) 263-2680
(970) 263-2684
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2680
(970) 263-2684

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
54118
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38758270
CO
Enumeration date
08/13/2008
Last updated
06/06/2022
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