Individual
DR. DUSTIN RAY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2244
(270) 575-8375
Mailing address
PO BOX 8317, PADUCAH, KY 42002-8317
(502) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100267040
—
KY
01
—
P01588988
MEDICARE RAILROAD
KY
Enumeration date
02/07/2007
Last updated
09/17/2024
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