Randy Lynn Woods
General Practice Physician
250 S Hickman St
Puxico
, Missouri 63960-9122
Randy Lynn Woods
General Practice Physician
250 S Hickman St
Puxico
, Missouri 63960-9122
(573) 222-2383
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Randy Lynn Woods
- 250 S Hickman St
- Puxico, MO
- Zip : 63960-9122
- Fax : (573) 222-2383
- Phone : (573) 222-2292
Second Address
- Randy Lynn Woods
- 250 S Hickman St
- Puxico, MO
- Zip : 63960-9122
- Fax : (573) 222-2383
- Phone : (573) 222-2292
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MDR1K29 | MO |
National Provider Identifier
| NPI | 1023009859 |
|---|---|
| Provider Name | Randy Lynn Woods |
| First Address | Puxico, MO 63960-9122 |
| Second Address | Puxico, MO 63960-9122 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E48759 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.