Individual
DR. STEPHEN O WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72401
(870) 936-8285
(870) 934-3636
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8285
(870) 934-3636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C-5116
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101739001
—
AR
Enumeration date
03/14/2006
Last updated
01/27/2014
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