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Individual

DR. STEPHANIE MARIE WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7910 FROST ST, SUITE 450, SAN DIEGO, CA 92123-2771
(858) 565-0104
(858) 565-0194
Mailing address
7910 FROST ST, SUITE 450, SAN DIEGO, CA 92123-2771
(858) 565-0104
(858) 565-0194

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A103828
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A103828
MEDICAL LICENSE
CA
01
LL1680
MEDICAL LICENSE
NV
Enumeration date
03/16/2007
Last updated
03/07/2023
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