Individual
CONNIE K WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
40719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013798
KAISER-COMMERCIAL NUMBER
—
05
—
16034732
—
CO
Enumeration date
02/27/2007
Last updated
02/21/2017
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