Individual
DR. MARK L WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 S GEAR AVE, SUITE 109, WEST BURLINGTON, IA 52655-1682
(319) 768-1820
Mailing address
1223 S GEAR AVE, SUITE 109, WEST BURLINGTON, IA 52655-1682
(319) 768-1820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02278
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3261990
—
IA
01
—
37985
BLUE CROSS BLUE SHIELD
IA
01
—
P00172359
RAILRAOD MEDICARE
—
Enumeration date
05/04/2006
Last updated
09/26/2014
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