Individual
BRANDON JOHN-STARR WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 427-5626
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A131192
CA
2086S0102X
Surgical Critical Care Physician
Primary
A131192
CA
Other
Enumeration date
04/22/2012
Last updated
03/10/2020
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