Individual
TYLER JEFFREY WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 S EUCLID AVE STE 905, SAINT LOUIS, MO 63110-1005
(314) 273-5735
Mailing address
5655 PERSHING AVE APT 304, SAINT LOUIS, MO 63112-2143
(919) 671-7063
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2021010145
MO
207VX0201X
Gynecologic Oncology Physician
Primary
2021010145
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2017
Last updated
11/01/2021
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