# JEFFREY L WOODWARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306891296
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 100758 | MO | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | C-7554 | AR | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 09/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 149639 | BLUE CROSS/CHOICE | MO |
| 05 | — | 168118001 | — | AR |
| 05 | — | 203420716 | — | MO |
| 01 | — | 2086 | COX HEALTH PLANS UPI | MO |
| 01 | — | 4188130001 | CIGNA MEDICARE | MO |
| 01 | — | 5421593001 | CIGNA HEALTHCARE | MO |
| 01 | — | F10812 | USPS (W/C) | MO |