Individual
WILLIAM B WOODWARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1244
(307) 688-1224
Mailing address
PO BOX 100517, FORT WORTH, TX 76185-0517
(817) 731-7771
(817) 731-7774
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
5471A
WY
207ZP0101X
Anatomic Pathology Physician
Primary
5471A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122244900
—
WY
01
—
220032568
MEDICARE RR
WY
01
—
307127
BCBS
WY
Enumeration date
02/25/2006
Last updated
05/01/2008
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