Individual
GARY ANTHONY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1975 STEPHANIE COURT, AUBURN, AL 36830
(334) 209-2808
Mailing address
1975 STEPHANIE COURT, AUBURN, AL 36830
(334) 209-2808
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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