Individual
DR. CHASE COLTON WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13616 CALIFORNIA ST STE 100, OMAHA, NE 68154-5336
(402) 496-0404
(402) 496-7766
Mailing address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5336
(402) 496-5527
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2017006417
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
30576
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081304012
—
NE
Enumeration date
06/06/2012
Last updated
06/11/2019
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