Individual
GARRETT GLEN WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
600 MEDICAL DRIVE, STE 205, WENTZVILLE, MO 63385
(636) 332-5050
(636) 327-4723
Mailing address
600 MEDICAL DRIVE, STE 205, WENTZVILLE, MO 63385
(636) 332-5050
(636) 327-4723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002460
MO
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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