NPI 1053606236

Jhade Woodall, MD

Practitioner Plastic Surgery Physician Idaho Falls, ID

Practice location

Address: 3200 Channing Way STE 206, Idaho Falls, ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 453-6142
Mailing address: PO Box 277381, Atlanta, GA 30384-2358

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M-16557 (ID)

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1053606236
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2011
Record last updated: 24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.