Individual
THOMAS D WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-8600
Mailing address
137 N CAPS COVE LN, BRANSON, MO 65616-6109
(417) 338-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
113704
MO
208M00000X
Hospitalist Physician
Primary
113704
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110237469
RAILROAD MEDICARE
—
01
—
126814
BCBS
—
01
—
156057
BCBS
—
05
—
208887414
—
MO
01
—
250766
HEALTHLINK
—
01
—
660128
HEALTHLINK
—
Enumeration date
06/19/2006
Last updated
05/09/2017
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