Organization
GREG M. ZAWADA, MD PLLC
Active
Other names
Greg M. Zawada, MDPA
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M ZAWADA MD (PHYSICIAN/PRESIDENT)
(501) 765-5655
Entity
Organization
Contact information
Practice address
2215 WILDWOOD AVE, SUITE 204, SHERWOOD, AR 72120-5089
(501) 753-2424
(501) 753-2733
Mailing address
PO BOX 241125, LITTLE ROCK, AR 72223-0003
(501) 765-5655
(501) 313-5341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4895
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175533001
—
AR
Enumeration date
09/08/2008
Last updated
12/12/2019
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