Eric Woodard, Md Pa | |
525 Hendrix Cv Conway AR 72034-7742 | |
(501) 450-6400 | |
(501) 450-6440 |
Full Name | Eric Woodard, Md Pa |
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Speciality | Clinic/Center |
Location | 525 Hendrix Cv, Conway, Arkansas |
Authorized Official Name and Position | Eric A Woodard (PRESIDENT) |
Authorized Official Contact | 5014506400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eric Woodard, Md Pa Po Box 607 Conway AR 72033-0607 Ph: (501) 450-6400 | Eric Woodard, Md Pa 525 Hendrix Cv Conway AR 72034-7742 Ph: (501) 450-6400 |
NPI Number | 1487882023 |
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Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/22/2009 |
Medicare PECOS PAC ID | 5496808669 |
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Medicare Enrollment ID | O20090805000710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487882023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Eric Woodard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932235785 PECOS PAC ID: 8426101684 Enrollment ID: I20090805000696 |
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