Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | R2F95 | MO |
NPI | 1013900323 |
---|---|
Provider Name | Dr. William L Woods |
First Address | Columbia, MO 65201-8023 |
Second Address | Columbia, MO 65201-8023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F51289 | (02) | MO |