Individual
ANDREW EDMOND WOOTEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
405 CASTLE CREEK RD STE 9, ASPEN, CO 81611-3125
(970) 920-5555
(970) 920-5557
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/08/2017
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