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Individual

DR. MARK GOFF WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
Mailing address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
95-161
NM
207W00000X
Ophthalmology Physician
Primary
G27304
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G273040
CA
Enumeration date
08/02/2006
Last updated
01/28/2008
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