Individual
ROLLIN A WYCOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 WEST MAIN STREET, CLARKSVILLE, AR 72830
(479) 668-3282
(479) 668-3284
Mailing address
PO BOX 130, RATCLIFF, AR 72951
(479) 431-2050
(479) 431-2051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-3257
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146345001
—
AR
Enumeration date
09/30/2005
Last updated
07/24/2020
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