Individual
SHANNON CODY WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3359 MIDDLE RD STE 1, BETTENDORF, IA 52722-3402
(563) 332-2211
(563) 332-2210
Mailing address
3359 MIDDLE RD STE 1, BETTENDORF, IA 52722-3402
(563) 332-2211
(563) 332-2210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28081
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/10/2006
Last updated
01/17/2022
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