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Contact Information

JHADE WOODALL, MD
3200 CHANNING WAY STE 206
IDAHO FALLS, ID83404-7546
 Phone: 208-529-2230
 Fax: 208-453-6142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JHADE WOODALL · (Male)

NPI Number 1053606236
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2011
Last updated 01/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-16557
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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