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Individual

DR. MICHAEL D WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 ROBINSON AVE, CONWAY, AR 72034-4945
(501) 548-6100
(501) 548-6105
Mailing address
2300 ROBINSON AVE, CONWAY, AR 72034-4945
(501) 548-6100
(501) 548-6105

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207V00000X
Obstetrics & Gynecology Physician
Primary
C-7346
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122417001
AR
Enumeration date
06/15/2005
Last updated
04/19/2011
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