Organization
OAKWOOD UROLOGY CLINIC PC
Active
Organization
OAKWOOD UROLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN B HUDSON (OFFICE MANAGER)
(970) 669-9100
Entity
Organization
Contact information
Practice address
1647 E 18TH ST, LOVELAND, CO 80538-4209
(970) 669-9100
Mailing address
1647 E 18TH ST, LOVELAND, CO 80538-4209
(970) 669-9100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01236355
—
CO
05
—
01287606
—
CO
05
—
29939232
—
CO
Enumeration date
08/16/2006
Last updated
08/22/2020
Update your record
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