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Individual

SHAHRZAD ROYA WOODBRIDGE

Active
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Individual

SHAHRZAD ROYA WOODBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12404265-1204
UT
207P00000X
Emergency Medicine Physician
Primary
DO214548
OR
207P00000X
Emergency Medicine Physician
O-1794
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201844875WA
WA
Enumeration date
09/05/2018
Last updated
06/14/2023
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