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Individual
GREGORY N. WOODS
Active
Individual
GREGORY N. WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19500
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19500
NE STATE LICENSE NUMBER
NE
01
—
264560
PTAN
NE
01
—
31701
STATE LICENSE NUMBER
CO
05
—
47077294513
—
NE
Enumeration date
05/26/2006
Last updated
04/29/2024
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