Doctor Name: | MOLLY WOODWARD |
NPI Number: | 1164892519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P57985 |
Business Practice Address: | 7619 Airline Ave Urbandale, IA - 503222528 |
Business Phone Number: | 5153180898 |
Business Fax Number: | |
Mailing Address: | 7619 Airline Ave, URBANDALE |
State: | IA |
Postal Code: | 503222528 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | P57985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |