Individual
ANTHONY K WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 STARFIELD RD, NORTH LITTLE ROCK, AR 72116-9252
(501) 413-8879
Mailing address
707 NE 2ND ST, GAINESVILLE, FL 32601-4315
(501) 413-8879
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
304949
LA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
304949
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
05/12/2017
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