Individual
JUSTIN WAYNE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1920 N HIGLEY RD, STE 206, GILBERT, AZ 85234-1623
(480) 543-6700
(480) 543-6725
Mailing address
1920 N HIGLEY RD, SUITE 206, GILBERT, AZ 85234-1623
(480) 543-6700
(480) 543-6725
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
006133
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
006133
AZ
390200000X
Student in an Organized Health Care Education/Training Program
OT012676
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806901
—
AZ
Enumeration date
07/07/2008
Last updated
04/27/2017
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