Provider Demographics
NPI:1063704237
Name:WOODS, JOHN PATRICK (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:WOODS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DESERT TRAUMA SURGEONS
Mailing Address - Street 2:380 EAST PASEO EL MIRADOR
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:760-323-6316
Mailing Address - Fax:
Practice Address - Street 1:DESERT TRAUMA SURGEONS
Practice Address - Street 2:380 EAST PASEO EL MIRADOR
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-323-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2OA156482086S0127X
CA20A156482086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care