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Individual

DR. BENJAMIN WARREN WOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-3703
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2024025808
MO
208800000X
Urology Physician
21735
MS
208800000X
Urology Physician
24495
OK
208800000X
Urology Physician
30209
AL
208800000X
Urology Physician
88308
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831241504
AL
Enumeration date
01/16/2007
Last updated
07/18/2024
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