Individual
ANDREW WOODHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2518
Mailing address
4054 W DEER PATH DR, BOISE, ID 83714-8870
(561) 213-2381
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101260760
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2015
Last updated
08/25/2016
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