Individual
ANDREA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(303) 761-0075
Mailing address
28575 LITTLE BIG HORN DR, EVERGREEN, CO 80439-6352
(303) 674-1885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8042691-2402
UT
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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