Individual
MS. JULIE MARIE WOODALL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(507) 847-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001340
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01410
RAILROAD MEDICARE PIN
IA
Enumeration date
12/06/2005
Last updated
05/20/2024
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