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NPI Code Detail

MEDICARE: DR. SHAWN KURT WOODARD D.C.

MEDICARE:  DR. SHAWN KURT WOODARD  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2000170278MO

General Provider Information

NPI Number : 1699867697
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN KURT WOODARD D.C.
Provider Business Mailing Address
First Line : 485 WILDWOOD PKWY
Second Line : SUITE #1
City : BALLWIN
State : MO
Zip : 63011-2667
Country : US
Telephone Number : 636-391-1800
Fax Number : 636-391-1800
Provider Business Practice Location Address
First Line : 485 WILDWOOD PKWY
Second Line : SUITE #1
City : BALLWIN
State : MO
Zip : 63011-2667
Country : US
Telephone Number : 636-391-1800
Fax Number : 636-391-1800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SHAWN KURT WOODARD D.C.” Practice Location

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