Individual
DR. TINA MARIE WOODBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2606 BRIGADOON RD, PHOENIX, MD 21131-1603
(410) 628-1521
Mailing address
2606 BRIGADOON RD, PHOENIX, MD 21131-1603
(410) 628-1521
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01343
MD
Other
Enumeration date
03/26/2007
Last updated
08/26/2019
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