Individual
RYAN T WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3655 W ANTHEM WAY, SUITE 109 PMB 313, ANTHEM, AZ 85086-0430
(623) 505-9880
(623) 505-9880
Mailing address
3655 W ANTHEM WAY, SUITE A109 PMB 313, ANTHEM, AZ 85086-0430
(623) 505-9880
(623) 505-9880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4263
AZ
208M00000X
Hospitalist Physician
4263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
957318-01
—
AZ
Enumeration date
09/30/2005
Last updated
12/08/2022
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