Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 20A15648 | CA |
N | 2086S0127X | Trauma Surgeon | 2OA15648 | CA |
NPI | 1063704237 |
---|---|
Provider Name | John Patrick Woods |
First Address | Palm Springs, CA 92262 |
Second Address | Palm Springs, CA 92262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 06/01/2022 |