Individual
CHRISTOPHER O WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053501
IN
207P00000X
Emergency Medicine Physician
Primary
01053501A
IN
208000000X
Pediatrics Physician
01053501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000587143
ANTHEM PROVIDER NUMBER
IN
05
—
200399740
—
IN
Enumeration date
06/07/2006
Last updated
11/14/2024
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