Individual
BRADLEY V WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
93 BROAD ST, ASHLAND, PA 17921-2101
(570) 875-0512
(570) 875-0534
Mailing address
93 BROAD ST, ASHLAND, PA 17921-2101
(570) 875-0512
(570) 875-0534
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000636L
PA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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