Individual
ROBERT A WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
311 W MAIN ST, WILBURTON, OK 74578-4047
(918) 465-0001
(918) 465-0003
Mailing address
311 W MAIN ST, WILBURTON, OK 74578-4047
(918) 465-0001
(918) 465-0003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112520A
—
OK
Enumeration date
06/10/2006
Last updated
10/30/2013
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