Individual
DR. TIMOTHY W WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 BERRYWOOD DR STE 300, COLUMBIA, MO 65201-6515
(573) 777-8330
(573) 777-8390
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014035368
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200018115
—
MO
Enumeration date
10/03/2006
Last updated
03/07/2023
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