Individual
DR. SHANNON LEE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3800
(417) 875-3809
Mailing address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3800
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2007018123
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2007018123
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184814576
—
MO
05
—
204301303
—
MO
Enumeration date
07/31/2007
Last updated
04/28/2026
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