Individual
JEREMY D WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 COMPASSION CIR, ANCHORAGE, AK 99504-1645
(907) 212-9200
(907) 212-9283
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7604
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009242
—
AK
Enumeration date
06/18/2009
Last updated
05/21/2019
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