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NPI Code Detail

MEDICARE: WOODWARD HEALTH SYSTEM LLC

MEDICARE: WOODWARD HEALTH SYSTEM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOK
2207Q00000XFamily Medicine PhysicianOK

General Provider Information

NPI Number : 1770828444
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODWARD HEALTH SYSTEM LLC
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number : 800-709-7338
Fax Number : 615-465-3007
Provider Business Practice Location Address
First Line : 1101 HILLCREST DR
Second Line :
City : WOODWARD
State : OK
Zip : 73801-3027
Country : US
Telephone Number : 580-256-3608
Fax Number : 580-256-3624
Authorized Official
Title or Position : VP PHYSICIAN OPERATIONS
Name : BRIAN A PEOPLES
Credential :
Telephone Number : 615-465-7585
Provider Enumeration Date : 12/06/2012
Last Update Date : 01/30/2013

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Directions to “WOODWARD HEALTH SYSTEM LLC ” Practice Location

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