Basic Information
| Provider Information | |||||||||
| NPI: | 1962063263 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WOODS | ||||||||
| FirstName: | PAIGE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1233 N 30TH ST | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062374116 | ||||||||
| FaxNumber: | 4062374125 | ||||||||
| Practice Location | |||||||||
| Address1: | 1233 N 30TH ST | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062374116 | ||||||||
| FaxNumber: | 4062374125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2019 | ||||||||
| LastUpdateDate: | 10/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2019022795 | MO | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | MED-PHYS-LIC-112495 | MT | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.