Individual
RANDY LYNN WOODS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S HICKMAN ST, PUXICO, MO 63960-9122
(573) 222-2292
(573) 222-2383
Mailing address
250 S HICKMAN ST, PUXICO, MO 63960-9122
(573) 222-2292
(573) 222-2383
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MDR1K29
MO
Other
Enumeration date
11/01/2005
Last updated
07/08/2007
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