MEDICARE: ROBERT H 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	207YS0123X	Facial Plastic Surgery Physician	AZ22242	AZ

General Provider Information

NPI Number	:	1558329011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT H WOODS MD

Provider Business Mailing Address
First Line	:	2051 W CHANDLER BLVD STE 5
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6239
Country	:	US
Telephone Number	:	480-214-9000
Fax Number	:	480-889-1859

Provider Business Practice Location Address
First Line	:	7301 E 2ND ST STE 308
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5627
Country	:	US
Telephone Number	:	480-214-9000
Fax Number	:	480-214-9999

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	02/09/2021

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