Individual
KIRKHAM BERWICK WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G136566
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G136566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030543
—
MA
01
—
468689
TUFTS HEALTH PLAN
MA
01
—
J27054
BCBS MA
MA
Enumeration date
03/01/2006
Last updated
04/27/2024
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