Provider Demographics
NPI:1912102823
Name:WOODS, DARRICK WESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DARRICK
Middle Name:WESLEY
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 W CLARENDON AVE
Mailing Address - Street 2:SUITE 142
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3420
Mailing Address - Country:US
Mailing Address - Phone:602-234-2092
Mailing Address - Fax:602-234-3748
Practice Address - Street 1:300 W CLARENDON AVE
Practice Address - Street 2:SUITE 142
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3420
Practice Address - Country:US
Practice Address - Phone:602-234-2092
Practice Address - Fax:602-234-3748
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42803207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology