Individual
DR. TORY W WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88TH MDG, 4881 SUGAR MAPLE DRIVE, WPAFB, OH 45433
(937) 257-8349
(937) 656-1347
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WPAFB, OH 45433
(937) 257-8349
(937) 656-1347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101234528
VA
2083A0100X
Aerospace Medicine Physician
Primary
0101234528
VA
Other
Enumeration date
09/13/2005
Last updated
04/14/2020
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