Individual
DR. BENJAMIN WOODLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 585-2000
Mailing address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 585-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E14105
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
04/24/2021
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