Individual
FREDERICK WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25470 MEDICAL CENTER DR STE 105, MURRIETA, CA 92562-4901
(951) 698-4600
(951) 514-2542
Mailing address
25470 MEDICAL CENTER DR STE 105, MURRIETA, CA 92562-4901
(951) 698-4600
(951) 514-2542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G64336
CA
207RC0000X
Cardiovascular Disease Physician
G643360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G643360
—
CA
Enumeration date
05/30/2006
Last updated
07/19/2024
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