Individual
DR. HOWARD RANDAL WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Mailing address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14918
NE
207XS0117X
Orthopaedic Surgery of the Spine Physician
14918
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623
BCBS
NE
01
—
200031846
RAILROAD MEDICARE
NE
05
—
2902981
—
IA
05
—
47081304012
—
NE
Enumeration date
05/31/2005
Last updated
05/30/2019
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