Provider Demographics
NPI:1386697514
Name:WOODS, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1524 W LACEY BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5965
Mailing Address - Country:US
Mailing Address - Phone:559-583-4508
Mailing Address - Fax:559-583-4655
Practice Address - Street 1:1524 W LACEY BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5965
Practice Address - Country:US
Practice Address - Phone:559-583-4500
Practice Address - Fax:559-583-4600
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2015-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG51755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G157110Medicaid
CA00G157110Medicaid
CAE07210Medicare UPIN
CAE07210Medicare UPIN