Individual
ERIC KENNETH WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8767
Mailing address
39000 BOB HOPE DR, ELCCC - 2ND FLOOR ATTN: SCOTT FITZGERALD, RANCHO MIRAGE, CA 92270-3221
(760) 773-1451
(760) 773-1239
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
A73557
CA
2084P0800X
Psychiatry Physician
Primary
A73557
CA
Other
Enumeration date
11/30/2006
Last updated
03/11/2014
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