person
Mr. William Richard Woodruff
Clinical Laboratory Director (Non-physician) in Lower Brule, South Dakota
NPI 1053514554

William Richard Woodruff is a Clinical Laboratory Director (Non-physician) based in Lower Brule, SD and is specialized in Clinical Laboratory Director, Non-physician. William Richard Woodruff practices in Lower Brule, SD. The NPI Number for William Richard Woodruff is 1053514554 and holds a License No. (South Dakota).

The current practice location address for William Richard Woodruff is 601 Gall Street, Lower Brule, SD and can be reached out via phone at 605-473-8246 and via fax at 605-473-0607. You can also correspond with William Richard Woodruff through the mailing address at PO BOX 248, LOWER BRULE, SD - 57548-0248 (mailing address contact number: 605-473-8246).

Location: 601 Gall Street, Lower Brule, SD, 57548-0248
person
Provider Profile Details
NPI Number
1053514554
Provider Name
William Richard Woodruff
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Gall Street, Lower Brule, SD, 57548-0248
Phone Number
605-473-8246
Fax Number
605-473-0607
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Gall Street
City
State
Zip
57548-0248
Phone Number
605-473-8246
Fax Number
605-473-0607
person
Provider Business Mailing Address Details
Address
Po Box 248
City
State
Zip
57548-0248
Phone Number
605-473-8246
Fax Number
605-473-0607
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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