Individual
DR. MARY THERESE WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 BROADWAY #206, KANSAS CITY, MO 64111
(816) 561-8100
Mailing address
528 CAMELOT DR, LIBERTY, MO 64068
(816) 415-1730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MO107206
MO
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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