Individual
MR. CHARLES JACKSON WOODDELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
2474 INDIAN WELLS RD., ALAMOGORDO, NM 88310-3927
(505) 921-3827
(505) 434-5624
Mailing address
1518 SCENIC DR, ALAMOGORDO, NM 88310-3927
(505) 921-3827
(505) 434-5624
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
106930
NM
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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