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Individual
NATHANAEL WOOD
Active
Individual
NATHANAEL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PENDING
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222712
LIWA
WA
01
—
0222713
LIWA
WA
01
—
0222714
LIWA
WA
01
—
1131WO
BSWA
WA
01
—
8119WO
BSWA
WA
05
—
8488124
—
WA
Enumeration date
05/29/2007
Last updated
02/19/2008
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