Individual
CHRISTOPHER WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
826 N 8TH ST, ESTHERVILLE, IA 51334-1528
(712) 362-2631
Mailing address
203 N 8TH ST, ESTHERVILLE, IA 51334-1922
(712) 209-3556
(712) 362-8215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
064084
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11538329
—
IA
01
—
16442
BLUE CROSS OF IA
IA
01
—
3311
AVERA HEALTH PLANS
—
Enumeration date
07/29/2005
Last updated
01/25/2018
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