Provider Demographics
NPI:1134835291
Name:HOOD, DAVID JON (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JON
Last Name:HOOD
Suffix:
Gender:M
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 COUNTY ROAD 245
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-9794
Mailing Address - Country:US
Mailing Address - Phone:412-613-2254
Mailing Address - Fax:
Practice Address - Street 1:1001 GRAND AVE STE 209
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3641
Practice Address - Country:US
Practice Address - Phone:412-613-2254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2OtherPHLEBOTOMY