Individual
DR. BRADLEY KEITH WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0739
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
(785) 368-0739
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
024675
LA
208600000X
Surgery Physician
Primary
04-33182
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002013
MEDICARE PTAN
KS
05
—
200558410A
—
KS
Enumeration date
10/25/2006
Last updated
04/28/2017
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