Woodard, Mark Downing

Woodard, Mark Downing is an sole proprietor health care provider with primary practice located at 1320 Bishop Randall Dr , Lander WY 82520-3939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Woodard, Mark Downing can be contacted via phone (307) 335-6352.

Contact Information

Primary practice address
1320 Bishop Randall Dr Lander WY 82520-3939
Phone: (307) 335-6352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 5662A Wyoming

Profile Details

NPI number 1982725727
LBN Legal business name Woodard, Mark Downing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Oct 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982725727 NPPES
Wyoming Other 5662A STATE LICENSE
Wyoming MEDICAID 130250700 STATE LICENSE

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