Individual
LARRY A WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8600 E MARKET ST STE 8, WARREN, OH 44484-2375
(330) 469-9035
(330) 288-0586
Mailing address
614 AVALON DR SE, WARREN, OH 44484-2180
(330) 727-3755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34-00-2495-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514698
—
OH
01
—
060003079
RAILROAD MEDICARE
OH
Enumeration date
01/11/2006
Last updated
03/01/2022
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