Individual
JOSHUA DAVID WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(720) 695-7889
Mailing address
6330 ARAGON WAY APT 102, FORT MYERS, FL 33966-4784
(334) 464-2433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154545440
AIR FORCE TRICARE
TX
Enumeration date
10/29/2014
Last updated
11/06/2023
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