Individual
COREY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 S. RAZORBACK RD., BAUM STADIUM, FAYETTEVILLE, AR 72701
(479) 935-7245
Mailing address
1665 S RADISSON DR APT 206, FAYETTEVILLE, AR 72701-5549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT 523
AR
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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