Individual
DR. BLAKE ALLEN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-1000
Mailing address
29282 JASMINE PL, HIGHLAND, CA 92346-3973
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95117961
CA
367500000X
Certified Registered Nurse Anesthetist
138804
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
95002072
CA
Other
Enumeration date
05/05/2022
Last updated
02/12/2026
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