Individual
JONATHAN A WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7140
Mailing address
PO BOX 1750, GRANTS PASS, OR 97528-0148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD22337
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD22337
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288519
—
OR
Enumeration date
06/22/2006
Last updated
10/04/2007
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