Individual
NATHANIEL ROHDE WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD, FACC
Contact information
Practice address
150 CATHERINE LN STE F, GRASS VALLEY, CA 95945-5719
(530) 477-8358
(530) 477-2015
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C55840
CA
Other
Enumeration date
10/13/2006
Last updated
02/26/2019
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