Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | DR.0053355 | CO |
N | 111NI0900X | Internist | DR.0053355 | CO |
Y | 207RR0500X | Rheumatology | DR.0053355 | CO |
NPI | 1114216926 |
---|---|
Provider Name | Patrick Ryan Wood |
First Address | Aurora, CO 80045 |
Second Address | Aurora, CO 80045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 01/11/2018 |