Individual
DR. BRYAN WESLEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3019 WILLIAM STREET, SUITE 102, CAPE GIRARDEAU, MO 63703
(573) 339-2020
(844) 380-2020
Mailing address
3019 WILLIAM STREET, SUITE 102, CAPE GIRARDEAU, MO 63703
(573) 339-2020
(844) 380-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009893
IL
152W00000X
Optometrist
Primary
2006 17344
MO
152W00000X
Optometrist
KY2195DT
KY
152WC0802X
Corneal and Contact Management Optometrist
2006017344
MO
Other
Enumeration date
08/19/2006
Last updated
07/24/2023
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