Dr KIRK J WOODWARD is a male medical professional, specializing in Family Medicine. He graduated in 1999.
BASIN MEDICAL CLINIC LLC
379 N 500 W
1A
VERNAL
UT
840781956
Tel: 4357891165
| Npi | 1811083348 |
| Pac Id | 8820071053 |
| Professional Enrollment Id | I20100618000215 |
| Last Name | WOODWARD |
| First Name | KIRK |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BASIN MEDICAL CLINIC LLC |
| Group Practice Pac Id | 5395728521 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 379 N 500 W |
| Line 2 Street Address | 1A |
| Marker Of Address Line 2 Suppression | |
| City | VERNAL |
| State | UT |
| Zip Code | 840781956 |
| Phone Number | 4357891165 |
| Hospital Affiliation Ccn 1 | 460019 |
| Hospital Affiliation Lbn 1 | UINTAH BASIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460030 |
| Hospital Affiliation Lbn 2 | ASHLEY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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