Individual
LESLEY E WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1670 WILLOW CREEK RD STE A, PRESCOTT, AZ 86301-1112
(928) 515-0632
Mailing address
1670 WILLOW CREEK RD, PRESCOTT, AZ 86301-1112
(928) 515-0632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0054252
CO
207R00000X
Internal Medicine Physician
OP60640701
WA
208M00000X
Hospitalist Physician
007403
AZ
208M00000X
Hospitalist Physician
Primary
OP60640701
WA
390200000X
Student in an Organized Health Care Education/Training Program
237099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061364
—
WA
Enumeration date
09/05/2008
Last updated
03/08/2023
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