Provider Demographics
NPI:1770570160
Name:WOODLE, ALAN STUART (DPM)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:STUART
Last Name:WOODLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8111 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4230
Mailing Address - Country:US
Mailing Address - Phone:206-784-3144
Mailing Address - Fax:206-784-4956
Practice Address - Street 1:8111 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4230
Practice Address - Country:US
Practice Address - Phone:206-784-3144
Practice Address - Fax:206-784-4956
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA276213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist