Individual
DR. JHADE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404-7546
(208) 529-2230
(208) 453-6142
Mailing address
PO BOX 277381, ATLANTA, GA 30384-2358
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M-16557
ID
Other
Enumeration date
06/15/2011
Last updated
01/24/2023
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