Individual
EDWARD M WOODLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
660 STUTZMAN RD, INDIANA, PA 15701-3603
(724) 465-9000
(724) 465-7617
Mailing address
660 STUTZMAN RD, INDIANA, PA 15701-3603
(724) 465-9000
(724) 465-7617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007141L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012770100007
—
PA
01
—
1465395
UMWA
PA
01
—
714382
HIGHMARK
PA
Enumeration date
09/20/2006
Last updated
03/05/2013
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