Russell H. Wood in Fayetteville - Specialist

Russell H. Wood - NPI 1366421653

Russell H. Wood is a Specialist in Fayetteville, Arkansas. Russell H. Wood practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell H. Wood is 1366421653. The last update date is 2018-03-12.

Russell H. Wood's current location address is 3276 N. North Hills Blvd., Fayetteville, Arkansas. You can contact this provider via phone number 4795871114 and fax number 4795871119. The mailing address for Russell H. Wood is 3276 N. North Hills Blvd., Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell H. Wood
Address 3276 N. North Hills Blvd., Fayetteville, Arkansas
Phone Number 4795871114
Fax Number 4795871119
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366421653
Provider Enumeration Date 2006-01-13
Last Updated Date 2018-03-12

Provider Mailing Address Detail

Address 3276 N. North Hills Blvd.
City Fayetteville
State Arkansas (AR)
Post Code 72703
Phone Number 4795871114
Fax Number 4795871119

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No C6484
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100139810A OK --
202830907 MO --
111251001 AR --

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FAQs about Russell H. Wood

What is the Russell H. Wood's unique identification number?

The Russell H. Wood has been assigned the NPI (National Provider Identifier) Number 1366421653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Russell H. Wood's physical address?

The Russell H. Wood is physically located at 3276 N. North Hills Blvd., in the city of Fayetteville, AR, with the postal code 72703.

What is Russell H. Wood's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Russell H. Wood is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366421653 to Russell H. Wood?

The Centers for Medicare & Medicaid Services assigned the 1366421653 to Russell H. Wood on 2006-01-13.

As of what date were the Russell H. Wood's details last updated?

The information pertaining to the Russell H. Wood, including its address, specialty, and other details, was most recently updated on 2018-03-12.

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