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1275623191
NATHANIEL ROHDE WOODRUFF
GRASS VALLEY, CA
NPI
1275623191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA C55840)
Enumeration Date
2006-10-13
Last Update Date
2019-02-26
Business Address
NATHANIEL ROHDE WOODRUFF M.D., PHD, FACC
150 CATHERINE LN STE F
GRASS VALLEY, CA 95945-5719
Phone number: 530-477-8358
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Mailing Address
NATHANIEL ROHDE WOODRUFF M.D., PHD, FACC
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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