Individual
WILLIAM WOODHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
(844) 492-9736
Mailing address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-2110
(208) 239-2136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-6624
ID
207Q00000X
Family Medicine Physician
M6624
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003996800
—
ID
Enumeration date
01/09/2007
Last updated
04/07/2023
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