NPI 1013034628

Five J Woodall Medical Director

Organisation Family Medicine Physician Anderson, IN

Practice location

Address: 299 E 360 N, Anderson, IN 46012-9659
Phone: (765) 642-8446
Fax: (765) 642-7934

Authorised official

Name: John W Woodall
Title: Owner
Phone: (765) 642-8446

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01022907A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1013034628
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 21 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.