Individual
DR. CLINTON WADE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 E MOORE AVE, SEARCY, AR 72143-4831
(501) 203-0123
(501) 500-6391
Mailing address
2920 E MOORE AVE, SEARCY, AR 72143-4831
(501) 203-0123
(501) 500-6391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-2799
AR
207Q00000X
Family Medicine Physician
Primary
E2799
AR
207QS0010X
Sports Medicine (Family Medicine) Physician
E-2799
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143638001
—
AR
Enumeration date
04/28/2006
Last updated
09/14/2022
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