Woodruff, Daniel Young

Woodruff, Daniel Young is an individual health care provider with primary practice located at 2444 W. Las Palmaritas Dr Mail Stop A 112, Phoenix AZ 85021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Woodruff, Daniel Young can be contacted via phone (602) 864-2160.

Contact Information

Primary practice address
2444 W. Las Palmaritas Dr Mail Stop A 112 Phoenix AZ 85021
Phone: (602) 864-2160
Fax: (602) 864-5855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 201200193 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 6848 Kansas
Allopathic & Osteopathic Physicians / Urology 208800000X 50653 Arizona

Profile Details

NPI number 1922205186
LBN Legal business name Woodruff, Daniel Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jun 7th, 2020 - about 6 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 1922205186 NPPES
Arizona MEDICAID 029735
Arizona Other 1724T

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