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NPI Code Detail

MEDICARE: DR. RICHARD A. WOODARD DDS

MEDICARE:  DR. RICHARD A. WOODARD  DDS
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
11223G0001XGeneral Practice Dentistry6597KS

General Provider Information

NPI Number : 1184602815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD A. WOODARD DDS
Provider Business Mailing Address
First Line : 3200 KIMBALL AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66503-2157
Country : US
Telephone Number : 785-537-2800
Fax Number :
Provider Business Practice Location Address
First Line : 3200 KIMBALL AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66503-2157
Country : US
Telephone Number : 785-537-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD A. WOODARD DDS” Practice Location

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