Provider Demographics
NPI:1548255854
Name:WOODARD, TORY W (MD)
Entity type:Individual
Prefix:DR
First Name:TORY
Middle Name:W
Last Name:WOODARD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:88 MDG/SGHJ
Mailing Address - Street 2:4881 SUGAR MAPLE DR.
Mailing Address - City:WPAFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-257-8349
Mailing Address - Fax:937-656-1347
Practice Address - Street 1:88TH MDG
Practice Address - Street 2:4881 SUGAR MAPLE DRIVE
Practice Address - City:WPAFB
Practice Address - State:OH
Practice Address - Zip Code:45433
Practice Address - Country:US
Practice Address - Phone:937-257-8349
Practice Address - Fax:937-656-1347
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-04-14
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Provider Licenses
StateLicense IDTaxonomies
VA0101234528207Q00000X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine