Individual
MR. BRENT L WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6700 N FIRST ST, SUITE 105, FRESNO, CA 93710
(559) 431-0757
(559) 431-0758
Mailing address
6700 N FIRST ST, SUITE 105, FRESNO, CA 93710
(559) 431-0757
(559) 431-0758
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E22220
—
CA
Enumeration date
12/27/2006
Last updated
07/08/2007
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