Individual
MR. IRWIN R VANDYGRIFF I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 WOODELL ST, CLINTON, AR 72031-6929
(501) 745-4060
(501) 745-4012
Mailing address
179 WOODELL ST, CLINTON, AR 72031-6929
(501) 745-4060
(501) 745-4012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
12/18/2007
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