TODD R WOODWARD

EAGLE, ID
NPI1609243187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1277)
Enumeration Date2015-08-31
Last Update Date2015-08-31
Business Address
-- TODD R WOODWARD PA-C
868 E RIVERSIDE DR STE 170
EAGLE, ID 83616-5412
Phone number: 208-995-2802
Mailing Address
-- TODD R WOODWARD PA-C
868 E RIVERSIDE DR STE 170
EAGLE, ID 83616-5412
Phone number: 208-995-2802
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