Individual provider · Type 1 NPI

Tina Marie Woodburn, D.P.M.

Foot & Ankle Surgery Podiatrist · Phoenix, MD

NPI number 1104943711 Active

Practice location

2606 Brigadoon Rd
Phoenix, MD 21131-1603

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X01343 (MD)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104943711

Tina Marie Woodburn, D.P.M.'s National Provider Identifier is 1104943711, issued on Mar 26, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Phoenix, MD. The record was last updated on Aug 26, 2019.