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Individual

CHARLES A WOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2620 WHEATON WAY, BREMERTON, WA 98310-3335
(360) 377-3923
(360) 373-4988
Mailing address
2620 WHEATON WAY, BREMERTON, WA 98310-3335
(360) 377-3923
(360) 373-4988

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016150
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1061662
WA
01
91114366505
KPS HEALTHPLANS
WA
01
WO7842
REGENCE
WA
Enumeration date
10/04/2005
Last updated
11/06/2012
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