Individual
DR. JOSHUA WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2150 E KIMBERLY RD, DAVENPORT, IA 52807-2225
(563) 359-0791
Mailing address
2150 E KIMBERLY RD, DAVENPORT, IA 52807-2225
(563) 359-0791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010786
IL
152W00000X
Optometrist
Primary
073225
IA
Other
Enumeration date
06/06/2014
Last updated
12/08/2021
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