Healthcare Provider Details

I. General information

NPI: 1558329011
Provider Name (Legal Business Name): ROBERT H WOODS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 E 2ND ST STE 308
SCOTTSDALE AZ
85251-5627
US

IV. Provider business mailing address

2051 W CHANDLER BLVD STE 5
CHANDLER AZ
85224-6239
US

V. Phone/Fax

Practice location:
  • Phone: 480-214-9000
  • Fax: 480-214-9999
Mailing address:
  • Phone: 480-214-9000
  • Fax: 480-889-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberAZ22242
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: