Individual
NEILEE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8121 NW 119TH ST, OKLAHOMA CITY, OK 73162-1110
(405) 721-2605
Mailing address
8121 NW 119TH ST, OKLAHOMA CITY, OK 73162-1110
(405) 721-2605
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2748
OK
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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