Robert C Woodruff M.D.

NPI 1659454262 - Specialist - 174400000X

NPI Details
NPI 1659454262
Gender Male
Enumeration Date 10/24/2006
Last Updated 12/03/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
619 E MASON ST
SUITE 4P57
SPRINGFIELD IL, 62701-1034, US
Phone (217) 788-0706
Fax (217) 525-2535
Business Location
619 E MASON ST
SUITE 4P57
SPRINGFIELD IL, 62701-1034, US
Phone (217) 788-0706
Fax (217) 525-2535
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036-067900
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According to our database, Robert C Woodruff M.D. NPI is 1659454262, taxonomy code is 174400000X and license number is 036-067900, license state is located at Illinois. Robert C Woodruff M.D. physically located at 619 E Mason St, Springfield IL, 62701-1034. NPI Number Robert C Woodruff M.D. has the Individual type.

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1659454262 NPI number is provided on an as is basis without warranty of any kind. 1659454262 is maintained by the National Plan & Provider Enumeration System. The contents of Robert C Woodruff M.D. are for informational purposes only.