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Individual

DR. ETHAN C WOODBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
OPC 41 BOX 15, APO, AE 09461-9001
(314) 226-8205
Mailing address
OPC 41 BOX 15, APO, AE 09461-9001
(314) 226-8205

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7024839-9934
UT

Other

Enumeration date
07/10/2008
Last updated
08/10/2026
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