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Individual
DR. JOHN CLARK WOOD
Active
Individual
DR. JOHN CLARK WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1849PT
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255825
MAMSI HEALTH PLANS
MD
01
—
60871901
BCBS INDIVIDUAL
MD
01
—
E6660002
FEDACARE BCBS BLUE CHOICE
MD
01
—
LU480E
BCBS
MD
Enumeration date
12/18/2006
Last updated
09/26/2011
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