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Physician Compare National (NPI:1760536163)

HEALTHCARE PROVIDER: LARRY HOWARD WOODCOX DPM ,DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1760536163
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7113128786
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120417000096
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WOODCOX
Individual professional last name
Provider First Name LARRY
Individual professional first name
Provider Middle Name HOWARD
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3 SANTA MARIA WAY
Group Practice or individual's line 1 address
City ORINDA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 945632604
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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