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Individual

DR. ROBERT W. WOODRUFF JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.075650
OH
208600000X
Surgery Physician
35075650W
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2110870
OH
01
H153540
MEDICARE PTAN
OH
01
H176220
MEDICARE PTAN
OH
Enumeration date
01/18/2006
Last updated
10/28/2021
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