MEDICARE: SIEARRA D. WOODS

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	171W00000X	Contractor		OH

General Provider Information

NPI Number	:	1164879128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIEARRA D. WOODS

Provider Business Mailing Address
First Line	:	6700 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44130-3828
Country	:	US
Telephone Number	:	330-881-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44130-3828
Country	:	US
Telephone Number	:	330-881-5457
Fax Number	:

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

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	02/09/2023

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Directions to “ SIEARRA D. WOODS ” Practice Location

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