| Doctor Name: | DR. PAUL NICOLA WOODRUFF |
| NPI Number: | 1457594376 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 151041-1205 |
| Business Practice Address: | 330 Northgate Dr Manteca, CA - 953363139 |
| Business Phone Number: | 2096245294 |
| Business Fax Number: | 2096245295 |
| Mailing Address: | 330 Northgate Dr, MANTECA |
| State: | CA |
| Postal Code: | 953363139 |
| Phone Number: | 2096245294 |
| Fax Number: | 2096245295 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 151041-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |