Individual
DR. SERENA DAWN WOODS-GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N CENTRAL AVE, PHOENIX, AZ 85004-8001
(602) 221-6326
Mailing address
7113 W SUPERIOR AVE, PHOENIX, AZ 85043-7293
(623) 210-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325855
—
AZ
Enumeration date
08/26/2007
Last updated
03/17/2018
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