Gary W Woodward
Otolaryngology/Facial Plastic Surgery
621 E Matthews
Jonesboro
, Arkansas 72401-3145
Gary W Woodward
Otolaryngology/Facial Plastic Surgery
621 E Matthews
Jonesboro
, Arkansas 72401-3145
(870) 932-8423
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Gary W Woodward
- 621 E Matthews
- Jonesboro, AR
- Zip : 72401-3145
- Fax : (870) 932-8423
- Phone : (870) 932-6799
Second Address
- Gary W Woodward
- 621 E Matthews
- Jonesboro, AR
- Zip : 72401-3145
- Fax : (870) 932-8423
- Phone : (870) 932-6799
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | R 4293 | AR |
National Provider Identifier
| NPI | 1326013269 |
|---|---|
| Provider Name | Gary W Woodward |
| First Address | Jonesboro, AR 72401-3145 |
| Second Address | Jonesboro, AR 72401-3145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 01/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040012508 | RAILROAD MEDICARE (01) | AR |
| 121667001 | (05) | AR |
| 55525 | BCBS (01) | AR |
| F32602 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.