Individual
MS. MELANIE JUNEQ WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, FT LEWIS, WA 98433
(253) 968-2626
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228936
LIWA
WA
01
—
6176MO
BSWA
WA
01
—
6177WO
BSWA
WA
01
—
8119WO
BSWA
WA
05
—
8486573
—
WA
Enumeration date
09/13/2005
Last updated
04/08/2008
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