Individual
VIRGINIA WOODROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 E COURT ST, SIDNEY, OH 45365-2810
(937) 492-8080
Mailing address
3610 DITMER RD, LAURA, OH 45337-8742
(937) 947-1514
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
35047163-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374988
ANTHEM BLUE CROSS
OH
05
—
0943948
—
OH
Enumeration date
07/05/2006
Last updated
02/16/2024
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