Individual
DAVID L WODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1919 E THOMAS RD, BLDG B, PHOENIX, AZ 85016-7710
(602) 546-0486
(602) 546-1631
Mailing address
1919 E THOMAS RD, BLDG C MANAGED CARE, PHOENIX, AZ 85016-7710
(602) 546-0486
(602) 546-1631
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730714
—
AZ
Enumeration date
03/21/2006
Last updated
07/08/2007
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