Robert C Woodruff in Springfield - Specialist

Robert C Woodruff - NPI 1659454262

Robert C Woodruff is a Specialist in Springfield, Illinois. Robert C Woodruff practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert C Woodruff is 1659454262. The last update date is 2021-12-22.

Robert C Woodruff's current location address is 619 E Mason St, Springfield, Illinois. You can contact this provider via phone number 2177880706 and fax number 2175252535. The mailing address for Robert C Woodruff is 619 E Mason St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert C Woodruff
Address 619 E Mason St, Springfield, Illinois
Phone Number 2177880706
Fax Number 2175252535
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659454262
Provider Enumeration Date 2006-10-24
Last Updated Date 2021-12-22

Provider Mailing Address Detail

Address 619 E Mason St
City Springfield
State Illinois (IL)
Post Code 627011034
Phone Number 2177880706
Fax Number 2175252535

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 036-067900
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36067900 IL --
60018201 IL RAILROAD

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FAQs about Robert C Woodruff

What is the unique provider identifier assigned to Robert C Woodruff?

The Robert C Woodruff has been issued the NPI (National Provider Identifier) 1659454262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Robert C Woodruff is located?

The Robert C Woodruff is situated at the following address: 619 E Mason St, Springfield, IL, 627011034.

What is Robert C Woodruff's area of expertise and its corresponding taxonomy classification?

The Robert C Woodruff's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

When did the Robert C Woodruff receive its 1659454262?

The Robert C Woodruff was issued its 1659454262 on 2006-10-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Robert C Woodruff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert C Woodruff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-22.

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