Individual
MR. WILLIAM RICHARD WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 GALL STREET, LOWER BRULE, SD 57548-0248
(605) 473-8246
(605) 473-0607
Mailing address
PO BOX 248, LOWER BRULE, SD 57548-0248
(605) 473-8246
(605) 473-0607
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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