NPI 1447775192

Wood MD PA

Organisation Family Medicine Physician Russellville, AR

Practice location

Address: 1605 W Main St, Russellville, AR 72801-2719
Phone: (479) 219-5008
Fax: (479) 219-5028

Authorised official

Name: Lavon Jeneen Wood
Title: Presiden
Phone: (479) 219-5008

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1447775192
Entity type: Organization
NPI issued: 3 Aug 2017
Record last updated: 25 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.