Individual
JACOB TENNYSON WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10120 E OLD VAIL RD STE 100, TUCSON, AZ 85747-9414
(520) 989-8012
(520) 959-8014
Mailing address
10120 E OLD VAIL RD STE 100, TUCSON, AZ 85747-9414
(520) 989-8012
(520) 959-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1921
AZ
Other
Enumeration date
06/14/2011
Last updated
09/13/2021
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