Dr Larry Odell Woodard, MD | |
407 14th Ave Se, Puyallup, WA 98372-3770 | |
(253) 848-6661 | |
(253) 770-5990 |
Full Name | Dr Larry Odell Woodard |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 407 14th Ave Se, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508893140 | NPI | - | NPPES |
8378465 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00027487 (Washington) | Primary |
Entity Name | Mt. Rainier Emergency Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538104476 PECOS PAC ID: 7810980968 Enrollment ID: O20040406000189 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Odell Woodard, MD Po Box 662050, Arcadia, CA 91066-2050 Ph: (626) 447-0296 | Dr Larry Odell Woodard, MD 407 14th Ave Se, Puyallup, WA 98372-3770 Ph: (253) 848-6661 |
Paul M Billing, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 | |
Dr. Eric B Tulley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 14th Ave Se, Puyallup, WA 98372 Phone: 253-848-6661 Fax: 253-770-5990 | |
Dr. Bobbi A Sipes, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 407 14th Ave Se, 407-14th Ave. Se, Pob 1247, Puyallup, WA 98372 Phone: 253-697-1848 | |
Stephen Edmund Friedrick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-4000 | |
Dr. Michael John Regalado, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 407 14th Ave Se, Puyallup, WA 98372 Phone: 253-848-6661 Fax: 253-770-5990 | |
Dr. Ted Coleman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 Phone: 253-848-8797 Fax: 253-845-0100 | |
Dr. Michael Perry Brook, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 407 14th Ave Se, Puyallup, WA 98372 Phone: 253-697-1848 Fax: 253-770-5990 |