| Doctor Name: | GREGORY K WOODARD |
| NPI Number: | 1649563651 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | APN0000015809 |
| Business Practice Address: | 133 Route 3 Dededo, GUAM - 96929 |
| Business Phone Number: | 6716455500 |
| Business Fax Number: | 6716455549 |
| Mailing Address: | Po Box 3830, HAGATNA |
| State: | GU |
| Postal Code: | 969323830 |
| Phone Number: | 6716455500 |
| Fax Number: | 6716455549 |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | APN0000015809 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |