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Individual
DR. MATTHEW LEO WOODHAM
Active
Individual
DR. MATTHEW LEO WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4473
IA
207R00000X
Internal Medicine Physician
Primary
DO-04473
IA
207R00000X
Internal Medicine Physician
OS11367
FL
208M00000X
Hospitalist Physician
DO-04473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760621791
NPI NUMBER
—
01
—
DO04473
IOWA LICENSE
IA
Enumeration date
02/15/2009
Last updated
09/26/2024
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