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1720083785
CLYDE W WOODYARD
ROANOKE, VA
NPI
1720083785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840258)
Enumeration Date
2005-06-16
Last Update Date
2022-01-26
Business Address
-- CLYDE W WOODYARD PA-C
2726 ELECTRIC RD
ROANOKE, VA 24018-3528
Phone number: 540-772-4448
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Mailing Address
-- CLYDE W WOODYARD PA-C
PO BOX 21435
ROANOKE, VA 24018-0551
Phone number: 540-772-4448
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