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NPI Code Detail

MEDICARE: ANDREW MICHAEL WOOD MD

MEDICARE: ANDREW MICHAEL WOOD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) PhysicianDR-0055633CO

General Provider Information

NPI Number : 1477996981
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MICHAEL WOOD MD
Provider Business Mailing Address
First Line : 1339 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219
Country : US
Telephone Number : 303-602-0000
Fax Number :
Provider Business Practice Location Address
First Line : 1339 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-4235
Country : US
Telephone Number : 303-602-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2013
Last Update Date : 09/21/2017

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