Individual
DANIEL YOUNG WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2444 W. LAS PALMARITAS DR, MAIL STOP A 112, PHOENIX, AZ 85021
(602) 864-2160
(602) 864-5855
Mailing address
2444 W. LAS PALMARITAS DR., MAIL STOP A 112, PHOENIX, AZ 85021-4883
(602) 864-2160
(602) 864-5855
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
201200193
NC
208800000X
Urology Physician
Primary
50653
AZ
208800000X
Urology Physician
6848
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029735
—
AZ
01
—
1724T
BCBS
NC
Enumeration date
06/29/2007
Last updated
06/07/2020
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