Individual
DR. DAVID GWYN WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 W COAST HWY, STE 100, NEWPORT BEACH, CA 92663-4036
(949) 645-6272
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G57139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G571390
BLUE SHIELD
CA
Enumeration date
01/24/2007
Last updated
01/28/2016
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