Provider Demographics
NPI:1891704763
Name:ZAWADA, GREGORY M (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:ZAWADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 241125
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0003
Mailing Address - Country:US
Mailing Address - Phone:501-765-5655
Mailing Address - Fax:501-313-5341
Practice Address - Street 1:2215 WILDWOOD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5089
Practice Address - Country:US
Practice Address - Phone:501-753-2424
Practice Address - Fax:501-753-2733
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2019-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-4895207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine