Individual
COLIN PRIOR WOZENCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5855 BREMO RD, SUITE 403, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Mailing address
5855 BREMO RD, SUITE 403, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242415
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101242415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
09/22/2007
Last updated
07/15/2014
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