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Individual

DERRIK F WOODBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2424 N WYATT DR, TUCSON, AZ 85712-6115
(520) 784-6200
(520) 784-6249
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6249

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26561
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
26561
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
709181
AZ
Enumeration date
08/03/2005
Last updated
12/06/2012
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