Organization
RADIOLOGY SERVICES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT WOOD MD (PRESIDENT)
(479) 452-9416
Entity
Organization
Contact information
Practice address
1001 TOWSON AVE, FT SMITH, AR 72901
(918) 392-2877
(918) 663-2281
Mailing address
PO BOX 1983, FORT SMITH, AR 72902-1983
(479) 452-9416
(479) 242-1990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MC0013
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100726770A
—
OK
05
—
105697002
—
AR
Enumeration date
01/19/2006
Last updated
07/20/2023
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