Thomas W Woodward Od PC

NPI #1447229174 in Emmett, Idaho

Provider Information

NPI Number: 1447229174
Entity Type: Organization
Organization Name: Thomas W Woodward Od PC
Primary Specialty: Optometrist
Enumeration Date: Mar 15, 2006
Last Updated: Jun 8, 2009

Practice Location

Address: 304 E MAIN ST
City: Emmett
State: Idaho
ZIP Code: 83617-3034
Phone: (208) 365-4531

Authorized Official

Name: THOMAS WHALEN WOODWARD, O.D.
Title: PRESIDENT
Phone: (208) 365-4531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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