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Individual

BRYAN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 724-2000
Mailing address
9165 DOMINION CIR, CINCINNATI, OH 45249-8404
(513) 583-9737

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.081971
OH
207R00000X
Internal Medicine Physician
MD2006-0846
NM

Other

Enumeration date
11/01/2006
Last updated
01/16/2010
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