Provider Demographics
NPI:1730456245
Name:WOODWARD, WILLIAM CHRIS (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRIS
Last Name:WOODWARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE STE 3170
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1494
Mailing Address - Country:US
Mailing Address - Phone:484-628-9386
Mailing Address - Fax:484-628-9387
Practice Address - Street 1:301 S 7TH AVE STE 3170
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1494
Practice Address - Country:US
Practice Address - Phone:484-628-9386
Practice Address - Fax:484-628-9387
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005095L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA411376YEBKMedicare PIN
PA411376YUNMMedicare PIN
PAC64758Medicare UPIN