Wood, Jonathan Rodger
Wood, Jonathan Rodger is an individual health care provider with primary practice located at 510 S Kingshighway Blvd Dept Radiology, Saint Louis MO 63110-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Wood, Jonathan Rodger can be contacted via phone (314) 362-7200.Contact Information
Primary practice address
510 S Kingshighway Blvd Dept Radiology
Saint Louis MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2019039191 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 2019039191 | Missouri |
Profile Details
| NPI number | 1255567947 |
|---|---|
| LBN Legal business name | Wood, Jonathan Rodger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2009 |
| Last updated | Apr 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255567947 | NPPES |
| Missouri | MEDICAID | 200089878 |
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