NPI 1740582493

Susan Marie Wolf

Practitioner Other Technician Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave # 1229, Fort Leonard Wood, MO 65473-8952
Phone: (573) 329-1903
Fax: (573) 329-8722

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1740582493
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2010
Record last updated: 1 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.