Individual
BRENT WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12368 STRATFORD DR STE 300, CLIVE, IA 50325-8149
(515) 226-8408
(515) 226-8408
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 643-6494
(303) 602-4168
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
CDR.0001325
CO
2085R0202X
Diagnostic Radiology Physician
MD-44322
IA
Other
Enumeration date
04/12/2012
Last updated
12/11/2024
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