Individual
RENEE BANNING WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 SUMMITVIEW AVE STE 102, YAKIMA, WA 98908
(509) 571-1300
(877) 334-1891
Mailing address
4702 SUMMITVIEW AVE STE 102, YAKIMA, WA 98908-6001
(509) 571-1300
(877) 334-1891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00038313
WA
208D00000X
General Practice Physician
0038313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034867
—
WA
01
—
4138415
AETNA
WA
01
—
8080WO
ASURIS
WA
Enumeration date
10/24/2006
Last updated
08/22/2018
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