Individual
JEFFREY L WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, WEST TOWER, SUITE 900, SPRINGFIELD, MO 65807-5210
(417) 885-8888
(417) 881-7638
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-8888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
100758
MO
208100000X
Physical Medicine & Rehabilitation Physician
C-7554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149639
BLUE CROSS/CHOICE
MO
05
—
168118001
—
AR
05
—
203420716
—
MO
01
—
2086
COX HEALTH PLANS UPI
MO
01
—
4188130001
CIGNA MEDICARE
MO
01
—
5421593001
CIGNA HEALTHCARE
MO
01
—
F10812
USPS (W/C)
MO
Enumeration date
05/23/2006
Last updated
09/30/2021
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