Provider Demographics
NPI:1962030304
Name:WOODALL, STEPHEN LESTER II (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LESTER
Last Name:WOODALL
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:10510 JEFFERSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3102
Mailing Address - Country:US
Mailing Address - Phone:757-594-3800
Mailing Address - Fax:757-594-3818
Practice Address - Street 1:301 COLLEGE ROW UNIT 9101
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3694
Practice Address - Country:US
Practice Address - Phone:757-782-6200
Practice Address - Fax:757-594-3818
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2025-02-05
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Provider Licenses
StateLicense IDTaxonomies
VA0101273577207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine