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Edward Wrenn Wooten, MD
Diagnostic Radiology Physician in Fayetteville, Arkansas
NPI 1144217373

Edward Wrenn Wooten is a Diagnostic Radiology Physician based in Fayetteville, AR and is specialized in Diagnostic Radiology. Edward Wrenn Wooten practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Edward Wrenn Wooten is 1144217373 and holds a License No. L4179 (Arkansas).

The current practice location address for Edward Wrenn Wooten is 3344 N Futrall Dr, Fayetteville, AR and can be reached out via phone at 479-443-5316.

Location: 3344 N Futrall Dr, Fayetteville, AR, 72702-1523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144217373
Provider Name
Edward Wrenn Wooten
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3344 N Futrall Dr, Fayetteville, AR, 72702-1523
Phone Number
479-443-5316
Fax Number
Provider Enumeration Date
10/03/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8K6572 01 TX MEDICARE PTAN
149763001 05 AR
institution
Provider Business Practice Location Address Details
Address
3344 N Futrall Dr
City
Fayetteville
State
Arkansas
Zip
72703-4057
Phone Number
479-443-5316
Fax Number
person
Provider Business Mailing Address Details
Address
3344 N Futrall Dr
City
Fayetteville
State
Arkansas
Zip
72703-4057
Phone Number
479-443-5316
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L4179 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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