Individual
STEPHEN T WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3264 N. NORTH HILLS BLVD, FAYETTEVILLE SURGICAL ASSOCIATES PA, FAYETTEVILLE, AR 72703-4005
(479) 521-3300
(479) 521-4914
Mailing address
3264 N. NORTH HILLS BLVD., FAYETTEVILLE SURGICAL ASSOCIATES PA, FAYETTEVILLE, AR 72703-4005
(479) 521-3300
(479) 521-4914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C7347
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123719001
—
AR
Enumeration date
05/12/2006
Last updated
05/17/2011
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