Individual
DR. WALTER H WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1709 BERKELEY WAY, BERKELEY, CA 94703-1505
(510) 843-2833
Mailing address
1709 BERKELEY WAY, BERKELEY, CA 94703-1505
(510) 843-2833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C39822
CA
207ND0900X
Dermatopathology Physician
C39822
CA
207NS0135X
Procedural Dermatology Physician
C39822
CA
Other
Enumeration date
06/28/2006
Last updated
11/10/2009
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