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Individual

THOMAS S WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6000 UNIVERSITY AVE, SUITE 101, WEST DES MOINES, IA 50266-8203
(515) 241-2600
(515) 241-2032
Mailing address
6000 UNIVERSITY AVE, SUITE 101, WEST DES MOINES, IA 50266-8203
(515) 241-2600
(515) 241-2032

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02227
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080074370
RR MEDICARE
IA
05
1699752790
IA
05
2235267
IA
05
3235267
IA
05
4235267
IA
Enumeration date
12/29/2005
Last updated
05/22/2012
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