# WOODS FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023543519
- **Authorized official:** DR. JUSTIN WOODS MD (OWNER)
- **Authorized official phone:** (262) 383-5517

## Contact information

- **Practice address:** 20652 N 53RD AVE, GLENDALE, AZ 85308-9309
- **Practice address phone:** (262) 383-5517
- **Practice address fax:** (920) 268-4285
- **Mailing address:** 20652 N 53RD AVE, GLENDALE, AZ 85308-9309
- **Mailing address phone:** (262) 383-5517
- **Mailing address fax:** (920) 268-4285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2017
- **Last updated:** 06/22/2024