Healthcare Provider Details

I. General information

NPI: 1225021280
Provider Name (Legal Business Name): WILLIAM A WOODS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39700 BOB HOPE DR SUITE 301
RANCHO MIRAGE CA
92270-3267
US

IV. Provider business mailing address

39700 BOB HOPE DR SUITE 200
RANCHO MIRAGE CA
92270-3267
US

V. Phone/Fax

Practice location:
  • Phone: 760-346-7696
  • Fax: 760-340-5156
Mailing address:
  • Phone: 760-346-2257
  • Fax: 760-346-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberG41397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: