IndividualActive
Adam Woodyard, DO
NPI 1063972198 · Diagnostic Radiology Physician · Lodi, CA
Provider details
- NPI number
- 1063972198
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A24597 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 334-3411
Approximate (ZIP-level) locationGet directions
Mailing address
250 Cherry Ln Ste 116
Manteca, CA 95337-4398
Registry dates
- Enumerated
- 2019-03-24
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.