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Individual

ERIC R WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1601 NEW CASTLE RD, FORREST CITY, AR 72335-2218
(870) 261-0513
(901) 261-2542
Mailing address
PO BOX 771522, MEMPHIS, TN 38177-1522
(901) 747-4624
(901) 261-2542

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
908397
MS
367500000X
Certified Registered Nurse Anesthetist
901576
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
C002649
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165012001
AR
01
5A145
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/02/2007
Last updated
07/09/2024
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