Basic Information
Provider Information
NPI: 1750437349
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOODS
FirstName: ALYN
MiddleName: Q
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10700 E GEDDES AVE STE 200
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801123861
CountryCode: US
TelephoneNumber: 3037619190
FaxNumber: 7208744462
Practice Location
Address1: 10700 E GEDDES AVE STE 200
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801123861
CountryCode: US
TelephoneNumber: 3037619190
FaxNumber: 7208744462
Other Information
ProviderEnumerationDate: 01/26/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X04-39808KSN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X29857NEN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
390200000XDR-43709CON Student, Health CareStudent in an Organized Health Care Education/Training Program 
2085R0202X43709COY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
11125710201KSMEDICARE PINOTHER
566462YQ3301COMEDICARE PINOTHER
566462YQN901COMEDICARE PINOTHER
566462ZLJ301COMEDICARE PINOTHER
NA121411301NEMEDICARE PINOTHER
566462YQPG01COMEDICARE PINOTHER
KA324909301KSMEDICARE PINOTHER
NA121511401NEMEDICARE PINOTHER
175043734905CO MEDICAID
NA251709001NEMEDICARE PINOTHER


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