# CEDAR MEDICAL SPECIALTIES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aesthetic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558486969
- **Authorized official:** DR. TROY J WOODMAN MD (OWNER)
- **Authorized official phone:** (253) 627-2900

## Contact information

- **Practice address:** 34503 9TH AVE S, SUITE 230, FEDERAL WAY, WA 98003-8727
- **Practice address phone:** (253) 627-2900
- **Practice address fax:** (253) 627-2941
- **Mailing address:** 2202 S CEDAR ST, SUITE 300, TACOMA, WA 98405-2318
- **Mailing address phone:** (253) 627-2900
- **Mailing address fax:** (253) 627-2941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | — | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 10/15/2007