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Individual

EDMOND E. WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5640 READ BLVD STE 550, NEW ORLEANS, LA 70127-7812
(504) 658-2750
Mailing address
7300 LAKESHORE DR APT 10, NEW ORLEANS, LA 70124-2462
(504) 239-2863

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021203
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1910864
LA
01
G6438
BLUECROSS BLUESHIELD
LA
Enumeration date
01/19/2006
Last updated
02/10/2012
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