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Individual

BRANDON T WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1881
Mailing address
9040 JACKSON AVE ATTN: MCHJ-CLQ-C, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
(253) 968-3278

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60563283
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
60563283
WA
208D00000X
General Practice Physician
17046
HI

Other

Enumeration date
07/08/2011
Last updated
03/06/2019
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