Individual
MARK R WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1048 US 31W BYP, BOWLING GREEN, KY 42101-2418
(270) 781-5644
(270) 781-4401
Mailing address
1048 US 31W BYP, BOWLING GREEN, KY 42101-2418
(270) 781-5644
(270) 781-4401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050377
ANTHEM BLUE CROSS BLUE SH
KY
05
—
85000115
—
KY
Enumeration date
07/11/2005
Last updated
01/26/2017
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