Individual
MICHAEL SCOTT WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 110, SANTA FE, NM 87505-7670
(505) 954-8720
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 820-5227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2005-0673
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024484
LOVELACE
—
01
—
1074387
UHC
—
01
—
2MYPR0070690
MOLINA HEALTHCARE
—
05
—
41880081
—
NM
01
—
NM009X08
BCBS NM
NM
Enumeration date
03/09/2006
Last updated
12/12/2007
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