Individual
MATTHEW L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
128 ROSS AVE, MONTICELLO, AR 71655-4250
(870) 723-0219
Mailing address
128 ROSS AVE, MONTICELLO, AR 71655-4250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R091983
AR
363LF0000X
Family Nurse Practitioner
Primary
A005413
AR
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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