Individual
DR. VANCE ASHLEY WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 HOME OLU PLACE, KAUNAKAKAI, HI 96748
(808) 553-5331
Mailing address
280 HOME OLU PLACE, KAUNAKAKAI, HI 96748-4007
(818) 409-8328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A20456
CA
207Q00000X
Family Medicine Physician
Primary
DOS-2607
HI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DOS-2607
HI
Other
Enumeration date
07/29/2021
Last updated
01/13/2025
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