Individual
DR. MARK DOWNING WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 335-6352
Mailing address
27 GANNETT PEAK DR, LANDER, WY 82520-9643
(307) 332-3415
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
5662A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130250700
—
WY
01
—
5662A
STATE LICENSE
WY
Enumeration date
04/02/2007
Last updated
10/09/2011
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