Individual
ISHA WOOFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1664 E PIKE STREET, CLARKSBURG, WV 26301-6011
(304) 709-7000
(304) 624-1780
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 624-1780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002261
—
WV
Enumeration date
09/21/2006
Last updated
01/23/2015
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