Provider Demographics
NPI:1003808429
Name:WOODWARD, PAULA J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:J
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:UNIVERSTIY OF UTAH DEPARTMENT OF RADIOLOGY
Mailing Address - Street 2:50 NORTH MEDICAL DRIVE, #1A71
Mailing Address - City:SALT LAKE CTY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-2410
Mailing Address - Country:US
Mailing Address - Phone:801-581-7553
Mailing Address - Fax:801-581-2414
Practice Address - Street 1:UNIVERSTIY OF UTAH DEPARTMENT OF RADIOLOGY
Practice Address - Street 2:50 NORTH MEDICAL DRIVE, #1A71
Practice Address - City:SALT LAKE CTY
Practice Address - State:UT
Practice Address - Zip Code:84132-2410
Practice Address - Country:US
Practice Address - Phone:801-581-7553
Practice Address - Fax:801-581-2414
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2021-12-20
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Provider Licenses
StateLicense IDTaxonomies
UT92-186903-12052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF23729Medicare UPIN