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1609243187
TODD R WOODWARD
EAGLE, ID
NPI
1609243187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA-1277)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business 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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Mailing Address
TODD R WOODWARD PA-C
868 E RIVERSIDE DR STE 170
EAGLE, ID 83616-5412
Phone number: 208-995-2802
Copy
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