MEDICARE: DR. BRANDON CRAIG WOODS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	46792	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164713749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON CRAIG WOODS MD

Provider Business Mailing Address
First Line	:	1343 N ALMA SCHOOL RD
Second Line	:	STE 160
City	:	CHANDLER
State	:	AZ
Zip	:	85224-5901
Country	:	US
Telephone Number	:	480-776-2982
Fax Number	:	480-917-7309

Provider Business Practice Location Address
First Line	:	10474 W THUNDERBIRD BLVD
Second Line	:	#200
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3023
Country	:	US
Telephone Number	:	623-972-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2011
Last Update Date	:	04/14/2017

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