Individual
JAMESON DEAN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711
(570) 808-7399
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43891
AZ
207R00000X
Internal Medicine Physician
MD441239
PA
207R00000X
Internal Medicine Physician
MT191745
PA
208M00000X
Hospitalist Physician
Primary
MD441239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596163
—
AZ
Enumeration date
12/10/2007
Last updated
11/06/2019
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