Individual
TIMOTHY D WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
(417) 875-3245
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006012220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207592806
—
MO
05
—
207592809
—
MO
Enumeration date
07/25/2006
Last updated
02/08/2021
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