Larry D Underwood MD
Ophthalmology in Wheat Ridge, CO. Organization (NPI-2).
NPI number1154465342
StatusActive
Last updated in NPPESOct 6, 2009
Details
- NPI
- 1154465342
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry D Underwood MD
- Organization subpart
- No
- Enumeration date
- Feb 19, 2007
- Last updated
- Oct 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 20049 | CO | Yes |
Other names
- Larry D Underwood MD (Doing Business As)
Practice location
7920 W 44th AveWheat Ridge, CO 80033-4506
Phone 303-424-3206
Mailing address
7920 W 44th AveWheat Ridge, CO 80033-4506
Authorized official
Larry D Underwood
Physician
3034243206
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