BRUCE CARLISLE WOLF

MOUNTAIN HOME, AR
NPI1619938511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AR  PT2246)
Enumeration Date2006-03-30
Last Update Date2009-11-17
Business Address
Mr. BRUCE CARLISLE WOLF MSPT
603 NORTHTOWN
MOUNTAIN HOME, AR 72653-3121
Phone number: 870-425-5180
Mailing Address
Mr. BRUCE CARLISLE WOLF MSPT
603 NORTHTOWN
MOUNTAIN HOME, AR 72653-3121
Phone number: 870-425-5180
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