Individual
MR. PAUL DAVID WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
(509) 925-4382
Mailing address
PO BOX 728, STIGLER, OK 74462-0728
(918) 967-8814
(918) 967-8894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1476
OK
Other
Enumeration date
08/10/2006
Last updated
01/23/2012
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