Individual provider · Type 1 NPI
Corey Wood
Student in an Organized Health Care Education/Training Program · Fayetteville, AR
Practice location
1255 S. Razorback Rd., Baum Stadium
Fayetteville, AR 72701
Mailing address
1665 S Radisson Dr Apt 206
Fayetteville, AR 72701-5549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | AT 523 (AR) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Grace WoodStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1003778101
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About NPI 1508270992
Corey Wood's National Provider Identifier is 1508270992, issued on Jun 13, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 13, 2014.