Individual
DAVID WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
326 POPLAR ST, BLACKFOOT, ID 83221-1741
(986) 275-0003
(986) 275-0005
Mailing address
326 POPLAR ST, BLACKFOOT, ID 83221-1741
(986) 275-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
05/01/2025
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