Individual
DR. JASON KORT WOODY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3721 S GRAND BLVD, SAINT LOUIS, MO 63118-3405
(314) 328-0144
(314) 788-3021
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
(305) 393-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021024168
MO
207Q00000X
Family Medicine Physician
Primary
2024028667
MO
Other
Enumeration date
06/24/2021
Last updated
01/05/2026
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