Individual
MR. BRIAN LEE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8460 WATSON ROAD, SUITE 124, ST LOUIS, MO 63119-5247
(314) 842-2393
(314) 842-7764
Mailing address
8460 WATSON ROAD, SUITE 124, ST LOUIS, MO 63119-5247
(314) 842-2393
(314) 842-7764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14242
BC BS
MO
Enumeration date
09/26/2006
Last updated
07/08/2007
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