Individual
JUSTIN MICHAEL WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
663 PARKER LANE, BRIGHAM CITY, UT 84302
(435) 734-9449
Mailing address
663 PARKER LANE, BRIGHAM CITY, UT 84302
(435) 734-9449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9391864-4405
UT
Other
Enumeration date
07/16/2020
Last updated
10/09/2020
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