Individual
GEOFFREY L PADDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5707 JENNY LIND RD, FORT SMITH, AR 72908-7435
(479) 452-9416
(479) 484-0827
Mailing address
PO BOX 3887, FORT SMITH, AR 72913-3887
(479) 452-9416
(479) 484-0827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-8015
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
05/04/2010
Last updated
04/30/2019
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