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NPI Code Detail

MEDICARE: BRITTANY WOODALL DO

MEDICARE: BRITTANY WOODALL DO
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
1207X00000XOrthopaedic Surgery PhysicianA15963CA

General Provider Information

NPI Number : 1861846867
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY WOODALL DO
Provider Business Mailing Address
First Line : 25 RIVIERA BLVD
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5694
Country : US
Telephone Number : 928-505-5555
Fax Number : 928-505-5557
Provider Business Practice Location Address
First Line : 25 RIVIERA BLVD
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5694
Country : US
Telephone Number : 928-505-5555
Fax Number : 928-505-5557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2016
Last Update Date : 01/20/2026

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