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Individual

DR. JOSEPH PAUL WOODARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 AMGEN CENTER DR, MS: 38-3-A, THOUSAND OAKS, CA 91320-1730
(805) 447-2339
Mailing address
2533 VISTA WOOD CIR APT 14, THOUSAND OAKS, CA 91362-5703
(650) 867-1985

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
C53334
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120746
MS
05
009913970
AL
05
0149539
MT
05
0529081
IA
05
100034940A
OK
05
100249681-00
NE
05
104670481
MI
05
137421001
AR
05
1429813
LA
05
200236490A
IN
05
200377110A
KS
05
205030604
MO
05
2122670
OH
05
3897777
TN
05
422400000
ME
05
564949
AZ
05
64712540
KY
05
7612969
NC
Enumeration date
05/27/2005
Last updated
10/19/2010
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