Organization
DR ROBERT WOODRUFF DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WOODRUFF DPM (CEO)
(601) 506-7400
Entity
Organization
Contact information
Practice address
1055 HUBB RD, BOLTON, MS 39041-8500
(601) 506-7400
Mailing address
1055 HUBB RD, BOLTON, MS 39041-8500
(601) 506-7400
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
80102
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110072
—
MS
Enumeration date
02/20/2008
Last updated
09/14/2021
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