| Di'ara Woods, PA-C | |
|
3 Club Centre Ct Ste B1, Edwardsville, IL 62025-3519 | |
| (618) 699-4402 | |
| Not Available |
| Full Name | Di'ara Woods |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3 Club Centre Ct Ste B1, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497115497 | NPI | - | NPPES |
| PENDING | Other | MO | RR MEDICARE |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Di'ara Woods, PA-C 403 Glen Carbon Rd, Glen Carbon, IL 62034-2965 Ph: (314) 749-8906 | Di'ara Woods, PA-C 3 Club Centre Ct Ste B1, Edwardsville, IL 62025-3519 Ph: (618) 699-4402 |
Kimberly Lynn Tiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Marion Elsa Gabou Dessalines, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4595 Fax: 618-800-4501 |