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Individual

GARY ANTHONY WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-086070
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009914117
AL
01
1-086070
RN / CRNA
AL
01
515-46368
BCBS OF AL
AL
05
587248520A
GA
Enumeration date
01/22/2008
Last updated
11/25/2013
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