Individual
JUDITH A WOODS
Active
Individual
JUDITH A WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-6725
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000758
BLUE SHIELD OF IDAHO
ID
05
—
002701200
—
ID
01
—
100015140
RAILROAD MEDICARE
ID
01
—
286323
OREGON HEALTH AND WELFARE
ID
01
—
DF243
BLUE CROSS OF IDAHO
ID
Enumeration date
09/20/2005
Last updated
02/15/2011
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