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Contact Information

LEE P WOODRUFF, DPM
1815 EXECUTIVE SQ
JONESBORO, AR72401-6086
 Phone: 870-933-0041
 Fax: 870-933-0531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LEE P WOODRUFF · (Male)

NPI # 1215931951
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/10/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 117
Hospital affiliation(s)
  • ST BERNARDS MEDICAL CENTER - (Acute Care)
    225 E JACKSON
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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