Stacey Wood

NPI 1164460168 - Clinic/Center - 261QP2000X

NPI Details
NPI 1164460168
Enumeration Date 06/02/2006
Last Updated 12/11/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STACEY A STACEY
Position OWNER
Phone (970) 242-0111
Fax (970) 263-4334
Practice Location
321 ROOD AVE
GRAND JUNCTION CO, 81501-2451, US
Phone (970) 242-0111
Fax (970) 263-4334
Business Location
321 ROOD AVE
GRAND JUNCTION CO, 81501-2451, US
Phone (970) 242-0111
Fax (970) 263-4334
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Stacey Wood NPI is 1164460168, taxonomy code is 261QP2000X Stacey Wood physically located at 321 Rood Ave, Grand Junction CO, 81501-2451. NPI Number 1033115704 has the healthcare provider type.

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1164460168 NPI number is provided on an as is basis without warranty of any kind. 1164460168 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Wood are for informational purposes only.