Provider Demographics
NPI:1780025197
Name:WOOD, ANNE
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 CHUCKWAGON RD
Mailing Address - Street 2:STE 101A
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-6500
Mailing Address - Country:US
Mailing Address - Phone:719-304-6203
Mailing Address - Fax:
Practice Address - Street 1:2153 CHUCKWAGON RD
Practice Address - Street 2:STE 101A
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-6500
Practice Address - Country:US
Practice Address - Phone:719-304-6203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-13
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy