Organization
JUDITH A. WOODS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A WOODS MD (PRESIDENT)
(208) 343-1702
Entity
Organization
Contact information
Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M6725
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002701200
—
ID
Enumeration date
01/13/2010
Last updated
01/13/2010
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