Provider Demographics
NPI:1932194859
Name:WOO, FRANCIS JONATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JONATHAN
Last Name:WOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5716
Mailing Address - Country:US
Mailing Address - Phone:928-453-3330
Mailing Address - Fax:928-453-2331
Practice Address - Street 1:60 RIVIERA DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5716
Practice Address - Country:US
Practice Address - Phone:928-453-3330
Practice Address - Fax:928-453-2331
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10705207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D44655Medicare UPIN
AZ860364357Medicare ID - Type Unspecified