Individual
GARY W WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 E MATTHEWS, JONESBORO, AR 72401-3145
(870) 932-6799
(870) 932-8423
Mailing address
621 E MATTHEWS, JONESBORO, AR 72401-3145
(870) 932-6799
(870) 932-8423
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
R 4293
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040012508
RAILROAD MEDICARE
AR
05
—
121667001
—
AR
01
—
55525
BCBS
AR
Enumeration date
02/22/2006
Last updated
05/01/2008
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