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Organization

EARL C WOOD MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EARL C WOOD MD (OWNER)
(606) 780-1292
Entity
Organization

Contact information

Practice address
220 STONE ST, MOREHEAD, KY 40351-1747
(606) 780-1292
Mailing address
220 STONE ST, MOREHEAD, KY 40351
(606) 780-1292

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23434
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000211732
ANTHEM BCBS
KY
05
64234347
KY
Enumeration date
03/06/2007
Last updated
05/23/2008
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