Whalio Doctors

NPI 1144217373

Edward Wrenn Wooten, MD

Practitioner Diagnostic Radiology Physician Fayetteville, AR

Practice location

Address
3344 N Futrall Dr, Fayetteville, AR 72703-4057
Phone
(479) 443-5316
Mailing address
PO Box 1523, Fayetteville, AR 72702-1523

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence E3681 (AR)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence L4179 (TX)

Registry record

NPI
1144217373
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Oct 2005
Record last updated
19 Aug 2024

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.