Brandon James Wolfe

NPI 1215210992 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1215210992
Gender Male
Enumeration Date 09/20/2011
Last Updated 09/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
110 SKYLINE DRIVE
RUSSELLVILLE AR, 72801, US
Phone (479) 968-1298
Fax (479) 968-6053
Business Location
350 SALEM ROAD SUITE 1
CONWAY AR, 72034, US
Phone (501) 336-8300
Fax (501) 329-5508
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Brandon James Wolfe NPI is 1215210992, taxonomy code is 171M00000X Brandon James Wolfe physically located at 110 Skyline Drive, Russellville AR, 72801. NPI Number Brandon James Wolfe has the Individual type.

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1215210992 NPI number is provided on an as is basis without warranty of any kind. 1215210992 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon James Wolfe are for informational purposes only.