# ROLLIN WYCOFF MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093834574
- **Authorized official:** DR. ROLLIN WYCOFF M.D. (PHYSICIAN, OWNER)
- **Authorized official phone:** (870) 807-1294

## Contact information

- **Practice address:** 2285 MAUL RD, CAMDEN, AR 71701-2511
- **Practice address phone:** (870) 807-1294
- **Practice address fax:** (866) 625-0076
- **Mailing address:** PO BOX 216, CAMDEN, AR 71711-0216
- **Mailing address phone:** (870) 807-1294
- **Mailing address fax:** (866) 625-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 11/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 158635002 | — | AR |