Organization
WOODWARD ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WOODWARD CRNA (PRESIDENT)
(712) 362-2631
Entity
Organization
Contact information
Practice address
826 N 8TH ST, ESTHERVILLE, IA 51334-1528
(712) 362-2631
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0644084
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434456
—
IA
Enumeration date
11/18/2005
Last updated
04/29/2008
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