Gerald A Woodworth D.M.D.

NPI 1053341644 - Dentist - 1223G0001X

NPI Details
NPI 1053341644
Gender Male
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
RUPERT ID, 83350-1800, US
Phone (208) 436-6406
Fax (208) 436-9678
Business Location
PO BOX 338
RUPERT ID, 83350-0338, US
Phone (208) 436-6406
Fax (208) 436-9678
Taxonomy Code 1223G0001X
License State Idaho
License Number D-1363
Remove 1053341644 NPI Number

According to our database, Dr. Gerald A Woodworth D.M.D. NPI is 1053341644, taxonomy code is 1223G0001X and license number is D-1363, license state is located at Idaho. Gerald A Woodworth D.M.D. physically located at 301 Scott Ave, Rupert ID, 83350-1800. NPI Number Gerald A Woodworth D.M.D. has the Individual type.

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1053341644 NPI number is provided on an as is basis without warranty of any kind. 1053341644 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald A Woodworth D.M.D. are for informational purposes only.