Individual
STUART THOMAS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3551
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247658
VA
207RI0200X
Infectious Disease Physician
0101247658
VA
207RI0200X
Infectious Disease Physician
Primary
26741
MS
Other
Enumeration date
07/18/2008
Last updated
01/16/2020
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