Dr. Russell H. Wood MD
Specialist in Fayetteville, AR(View on Map)
Full Name
Dr. Russell H. Wood MD
NPI Number
1366421653
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/13/2006
Specialties
(Taxonomies)Licenses
State
Arkansas
Arkansas
License Number
C-6484
C6484
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 550
3276 N. NORTH HILLS BLVD.
City
Lowell
Fayetteville
State
AR
AR
Postal Code
72745-0550
72703
Country
US
US
Telephone Number
(479) 463-7775
(479) 587-1114
Identifiers
Identifier
100139810A
202830907
111251001
Identifier State
OK
MO
AR
Identifier Issuer
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/12/2018
Provider Address
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