Individual
MARK WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NREMT-BASIC
Contact information
Practice address
2052 GALISTEO ST, SANTA FE, NM 87505-2100
(505) 819-3419
Mailing address
2052 GALISTEO ST, SANTA FE, NM 87505-2100
(505) 819-3419
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3672633
NM
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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