Organization
MEREDITH WOODWARD MD INC
Active
Parent organization
MEREDITH WOODWARD MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEREDITH WOODWARD MD INC
Authorized official
MS. BRANDEE GOODNIGHT (MEDICAL BILLER)
(559) 432-5570
Entity
Organization
Contact information
Practice address
1381 E HERNDON AVE, STE 101, FRESNO, CA 93720-3307
(559) 281-3220
(267) 381-6355
Mailing address
10474 N DOHENY DR, FRESNO, CA 93730-0798
(559) 281-3220
(267) 381-6355
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G57994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G579940
MEDICARE ID UNSPECIFIED
CA
Enumeration date
03/02/2015
Last updated
03/05/2015
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