Individual
JEROLD C WOODHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4964
(319) 384-6295
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4964
(319) 384-6295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20154
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163014
—
IA
01
—
16301
WELLMARK BCBS
IA
Enumeration date
09/19/2005
Last updated
12/19/2007
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