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1447775192
WOOD MD PA
RUSSELLVILLE, AR
NPI
1447775192
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Entity Type
Organization
Authorized Contact
LAVON JENEEN WOOD
Presiden
479-219-5008
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-08-03
Last Update Date
2022-07-25
Business Address
WOOD MD PA
1605 W MAIN ST
RUSSELLVILLE, AR 72801-2719
Phone number: 479-219-5008
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Mailing Address
WOOD MD PA
1605 W MAIN ST
RUSSELLVILLE, AR 72801-2719
Phone number: 479-219-5008
Copy
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