Matthew Kevin Woodbury, MD Valid NPI
Individual provider · General Practice Physician · Peoria, IL
- NPI
- 1306681127
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- 125.084470 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-06-25
- Last updated
- 2024-06-25
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
(309) 624-2386