CHARLES R WOODRUFF

DOUGLAS, WY
NPI1700956877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WY  23694.0835)
Enumeration Date2006-11-08
Last Update Date2013-12-20
Business Address
-- CHARLES R WOODRUFF CRNA
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-359-8667
Mailing Address
-- CHARLES R WOODRUFF CRNA
111 SOUTH 5TH ST
DOUGLAS, WY 82633
Phone number: 307-359-8667